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Insulin resistance can be a key contributor to all these issues and many more
The goal is not to stay at sub-therapeutic doses forever but to build tolerance slowly enough that your body can adapt without the nausea, vomiting, and bloating that characterize rapid titration
These effects are typically temporary and improve as the body adjusts to medication and as gastrointestinal symptoms resolve
Your muscles, including those around the eyes, are more prone to spasms when you're overtired
However, appetite returns rapidly and weight regain is common, so planning with your healthcare provider is recommended
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