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The physical changes at this point are subtle

Moderate to Advanced Signs (Medical Evaluation Warranted) Postural Dizziness or Lightheadedness: Feeling faint or dizzy when shifting from a seated to a standing position (orthostatic hypotension) indicates that circulating blood volume has dropped

Close follow-up allows for timely adjustments and ensures that patients are progressing safely and comfortably

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Longer-term continuous use (6+ months) has less established safety data, though no significant concerns have emerged

Pregnant or breastfeeding History of severe allergies Allergy to pineapple or citrus fruit Kidney or liver conditions Diabetes Are there any side effects