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During that extended transit time, the colon extracts water relentlessly, leaving behind hard, dry, pellet-like stool that resists passage

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Your final denial letter should include instructions on how to request it

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Those who could become pregnant should talk with their clinician about pregnancy testing, contraception, and the timing around stopping a GLP-1 medication before trying to conceive, since these drugs are not approved for use during pregnancy, Holt says

Medication is layered onto a traditional framework centered on tracking, routine, and group accountability, with an emphasis on consistency and adherence rather than ongoing behavior-change coaching