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While not listed as a primary side effect in clinical trials, telogen effluviuma temporary shedding condition triggered by metabolic stressoccurs in some individuals using these medications

Autonomic Shift: Over time, the repeated heat stress encourages a shift toward parasympathetic dominance, supporting better stress resilience

Initially, many patients notice a significant reduction in hunger and a greater sense of fullness within the first few weeks as the dose is gradually increased

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