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During this period, gastrointestinal side effects such as nausea and reduced appetite are most pronounced, potentially leading to inadequate fluid intake

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Many people do not realize that coffee, even black coffee, counts as consuming something that can interfere with the medication

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This evaluation should include assessment of body mass index (BMI) to confirm eligibility (BMI 30, or 27 with at least one weight-related comorbidity such as hypertension, dyslipidemia, type 2 diabetes, or obstructive sleep apnea), previous weight loss attempts, and realistic expectations for treatment outcomes

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