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Keeping a detailed symptom diary and using objective markers like fecal calprotectin testing helps distinguish between medication effects and disease activity

Some best practices include using a clean syringe for each dose if your pharmacy provides multiples, wiping the bottle opening with a clean tissue after each use, and never allowing the syringe to touch anything besides the inside of the bottle and the space under your tongue

Research indicates that total daily energy expenditure typically decreases by approximately 2030 calories per day for each kilogram (2.2 pounds) of weight lost, with proportional but smaller changes in resting metabolic rate

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