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Serious side effects reported with tacrolimus include: Difficulty urinating Fast heartbeat Seizures Trouble breathing Unusual bleeding or bruising 10
The prednisolone crosses the placenta and it is excreted into breast milk in small amounts
A minimum of 0.8 grams per kilogram of body weight is the baseline recommendation, but many experts in metabolic medicine now recommend 1.0-1.2 grams per kilogram for patients on GLP-1 therapy, specifically to protect against hair loss and muscle wasting
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