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You should contact your healthcare provider promptly if you experience any of the following: Severe or worsening abdominal pain Bloating that does not improve after 2-3 weeks Significant distress or interference with daily activities Signs of dehydration, such as dizziness, dark urine, or reduced urination Signs of a possible allergic reaction (rash, swelling of face/throat, difficulty breathing) Bloating accompanied by persistent vomiting or inability to keep fluids down Long-term outlook The majority of patients find that bloating eases within 48 weeks as their bodies get used to the medication

Diet, exercise, sleep, and stress management help reduce how much weight is regained

With proper support and monitoring, both options empower patients to take meaningful steps toward long-term health

These medications do not interfere with thyroid hormone replacement (like levothyroxine or NP Thyroid) and are generally safe for people with autoimmune conditions

Diabetes Ther 2021;12:13131324 [DOI] [PMC free article] [PubMed] [Google Scholar] 53