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Signs to watch for Rising blood glucose or HbA1c (particularly in diabetic patients) Severe flushing with nausea or vomiting GI upset that is additive with GLP-1 side effects Signs of liver stress (jaundice, dark urine, fatigue) with prolonged high doses What to do about it Practical, non-prescriptive steps the specifics still belong to you and your clinician

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Fat Loss and Weight Management Inhibition of Nicotinamide N-methyltransferase (NNMT) has been associated with increased energy expenditure and fat breakdown