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It presents with a broad clinical spectrum, ranging from asymptomatic or non-specific symptoms, such as fatigue or lightheadedness, to severe manifestations, including nausea, vomiting, alteration of consciousness, and even coma, which can be life-threatening 3,4

In all instances, it was found to have helped reduce the amount of swelling and well as decrease the speed of necrosis

For weight loss, other medications include orlistat (Alli, Xenical) and phentermine-topiramate (Qsymia), among others

The patients overall health is assessed to determine food intolerances and create an appropriate weight loss plan

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