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Before escalating laxative use, discuss with your provider whether a temporary dose reduction, slower titration schedule, or medication switch could reduce constipation while maintaining efficacy for appetite and blood sugar control

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And are you comfortable with the cash-pay pricing structure, given that insurance reimbursement may not be available

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Adjust your calorie needs as you lose: As you shed pounds, your bodys calorie needs slightly decrease (smaller bodies burn fewer calories)

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Sever AZ, Sever M, Vidovic T, Lojo N, Kolenc D, Vuletic LB, et al

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