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Because the physicians believe the diet must work if sustained, then the failure of the diet to achieve weight loss goals implies the failure of the patient, not the diet

In addition, as discussed previously, the alteration in bile acid absorption may result in increased GLP-1 secretion, in a similar way to that observed with bile acid sequestrants such as colesevelam [76, 77]

Patients should avoid excessive caffeine and alcohol, as both can contribute to dehydration

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proper storage, needle safety, and rotation of injection sites support effectiveness and minimize irritation

Rodvein R, Lindon JN, Levine PH