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It requires medical assessment because the doctor needs to check eligibility, contraindications, current medications, blood sugar status and overall metabolic risk

Ongoing support: The clients who succeed have regular, meaningful contact with their care team, not a one-time prescription

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Possible explanations include weight loss reducing insulating subcutaneous fat, metabolic changes, dehydration from gastrointestinal side effects, or unrelated conditions such as poor circulation, thyroid dysfunction, or Raynaud's phenomenon requiring separate investigation