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* Upper GI bleeding: 80 mg IV loading dose followed by continuous infusion (or intermittent high-dose IV regimens according to local protocol)

The pilot program has been a bit of a roller coaster for patients, says Bisher Mustafa, a weight-management specialist at Marshall Health, one of the centers in the PEIA pilot program

doi: 10.1016/j.intimp.2017.03.024 48

If you get a period, weight changes and improved insulin sensitivity can affect your ovulation and fertility

This effect may attenuate over time (tachyphylaxis) and can affect the absorption of concomitant oral medicines, necessitating review of medication timing