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Month 2: Building Momentum The second month is often when results become more encouraging

Month 2: early progress As you move to the second dose level, appetite suppression becomes more noticeable

You become weaker

However: Patients with BMI over 45 Severe sleep apnea Advanced type 2 diabetes Longstanding obesity may achieve more durable remission through bariatric surgery

(Outlines contraindications for niacin therapy, including active peptic ulcer disease, active liver disease with elevated enzymes, hypersensitivity to niacin, and arterial bleeding, as well as monitoring recommendations for blood pressure, glucose, uric acid, etc., due to niacins systemic effects)

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