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After all, we realize that you come to us to lose fat, not water or muscle

It also influences the action of neurotransmitters, chemicals that relay signals between nerve cells in the brain

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The first week or two at each new level brings renewed side effects, then improvement as you adapt

These toxicities can affect nearly any organ system but most commonly manifest as dermatologic toxicity, endocrinopathies, and severe autoimmune colitis , which requires prompt recognition and management with systemic corticosteroids

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