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Down 45 pounds in 8 months

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Consult your healthcare provider about adding an osmotic laxative like polyethylene glycol (MiraLAX) temporarily while your body adjusts to the medication
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Fakhoury M, Negrulj R, Mooranian A, Al-Salami H

J Diabetes Res 2019(9426014)

Embracing smaller, nutrient-dense portions from day one will help you maximize the weight-loss benefits of the medication while keeping your energy levels stable