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report new neck lumps, hoarseness, or trouble swallowing immediately

Over the following weeks, well gradually increase your dose until you reach the maximum dose of 2.4 mg, which has been shown to have positive effects on medical conditions such as fatty liver, heart disease, cholesterol levels, high blood pressure, and nonalcoholic steatohepatitis

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Look out for fatigue, swelling, or less frequent urination

Stage two is initial physiological effects like appetite suppression and gastric slowing, which many people notice within 24 to 72 hours

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