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Monitoring Progress Effectively: Rather than relying solely on scale weight, which can be misleading due to muscle preservation and fluid fluctuations, comprehensive progress tracking should include body composition analysis (DEXA scan, bioelectrical impedance, or skinfold measurements), circumference measurements (waist, hips, thighs, arms), progress photos taken in consistent lighting and positioning, and subjective measures like energy levels, appetite patterns, and how clothing fits

Any weight loss experienced while taking it is almost certainly the happy, indirect result of positive lifestyle changes that were made in concert with starting the medication

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Dehydration Not drinking enough water can cause dry and chapped lips, leading to irritation

Jan 2020;106(1):58-68