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[2] Adverse GI effects reported during spironolactone therapy include nausea, vomiting, cramping, diarrhea, gastritis, abdominal pain, gastric bleeding, and ulceration.2 Adverse nervous system effects that have been reported in patients receiving spironolactone therapy include headache, dizziness, drowsiness, lethargy, ataxia, and mental confusion

Table 1 summarizes these findings

Many patients report that their relationship with sugar changes within the first two to four weeks of treatment

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Remember that obesity is a chronic disease, and long-term or even indefinite treatment may be the most appropriate approach for many individuals, just as ongoing medication is standard for other chronic conditions like hypertension or diabetes

Her sleep apnea improved dramatically