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For long-term use, some providers reduce patients to a lower maintenance dose after reaching their weight goal

PMID: 6173142

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For example a person with Si joint hyper mobility, dislocating joints and even tendinosis

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Instead, she needs other health metrics, such as blood pressure, fasting blood sugar and hemoglobin A1C levels, as well as information on diet and exercise to decide if someone in a large body also has an illness