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Many users find that transitioning to maintenance doses rather than complete discontinuation better preserves improvements

When most people eat their levels go up, causing them to feel satisfied, says Dr Harvinder Chahal, consultant endocrinologist and lead bariatric physician at Imperial College Healthcare NHS Trust

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These symptoms typically occur during dose escalation and tend to diminish over time as tolerance develops

Foods high in caffeine, sugar, or refined carbohydrates can also stimulate the cardiovascular system and trigger irregular heartbeats