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Your provider needs to make this determination based on your individual tolerance history

In exchange for putting in the time and effort, many patients report positive outcomes

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This is especially important because the wrong response to side effects can create a downward spiral: nausea leads to under-eating under-eating leads to weakness and poor protein intake poor intake and GI symptoms contribute to dehydration exercise tolerance drops patients lose weight, but not in a healthy or durable way A supervised plan helps interrupt that pattern early

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