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This is because extremely cold temperatures can break down the benzyl alcohol that becomes ineffective

The brand's materials also note that progress is tracked through symptom check-ins and, where relevant, biomarker tracking, with the plan adjusted over time based on how you respond - which suggests side effects and dosing are meant to be managed as an ongoing conversation with your provider rather than a fixed, one-time decision made at intake

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A medical weight loss program may also include nutritional counseling, hormone testing, and other supportive therapies

Eat a light meal to avoid lightheadedness