One patient was reported to have learning disability with dyslexia and was also thought to be mentally retarded [5], and another had delayed psychomotor development and progressive sensory neuropathy of lower extremities, ataxia, hyperreflexia, dysarthria, and a peculiar gait suggestive of spinocerebellar degeneration [2]
Less muscle also means slower metabolism, which could blunt long-term success and increase the likelihood of rebound weight gain when the medication is stopped
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