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Careful monitoring is needed

The honest answer is: it depends on your starting body weight, metabolic history, blood sugar regulation, and how your body responds to treatment

References Gahl WA, Thoene JG, Schneider JA (2002) Cystinosis

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The good news is that by prioritizing protein and strength training , you can minimize this issue

A pill may be your best option if: You experience severe needle anxiety, travel frequently without access to reliable refrigeration, or prefer a daily oral routine that avoids the physical discomfort of self-injection