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Aside from the side effects and maybe that's the very real problem here, that you're going to get super nauseous and we can help you sort of mitigate that by being careful with the dose but are there any other reasons why somebody shouldn't use it that way

There are no exceptions

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Get a letter from a specialist: An endocrinologists letter explaining medical necessity carries weight in appeals

Both require commitment, to dosing, check-ups, and lifestyle habits

Patients must be informed that they should not share their medication with others as it has been prescribed explicitly for their medical condition