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If side effects are severe or persistent, healthcare providers may recommend temporarily maintaining the current dose or, in some cases, reducing the dose before attempting further increases

Measurements in urine would be more sensitive if you do not have kidney problems

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JBMR Plus 2(3):121133 Lindeman KG, Greenblatt LB, Rourke C et al (2018) Longitudinal 5-year evaluation of bone density and microarchitecture after Roux-en-Y gastric bypass surgery