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They manage the symptom

Early treatment phases typically start patients at lower unit amounts (2.4 units or 0.2 mg) and increase gradually every 4 weeks to allow the body to adjust and minimize nausea

Some people find it helpful to supplement their protein intake with protein powders, bars, and shakes

Vitamin D deserves separate mention because fat loss releases stored vitamin D from adipose tissue, temporarily increasing blood levels, but long-term reduced fat intake can lead to deficiency

We have ours made by a licensed pharmacy, verify its identity in the lab, keep it refrigerated end to end, and put a doctor in charge of your weekly plan so you know exactly what you're getting