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Your physician should guide cycling decisions based on your response patterns, metabolic markers, side effect profile, therapeutic goals, and cost considerations rather than arbitrary predetermined schedules

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Contact your prescriber right away or seek urgent care if you have: Severe or ongoing vomiting Inability to keep fluids down Signs of dehydration, including dizziness, fainting, or very dark urine Severe stomach pain that does not improve Symptoms of low blood sugar, such as shaking, sweating, confusion, or fainting, especially if you use insulin or certain diabetes medications If you are unsure, call the pharmacy