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Most patients notice reduced appetite within the first few weeks, with visible weight loss typically starting by week 4-8

1, 2, 3, and 4)

But, rapidly upon ingestion, if the ingredients of the meal are deemed palatable, there is undoubtedly a feed-forward positive hedonic response that drives further meal taking

Lactulose, another osmotic agent available by prescription in the US, may cause more gas and bloating but remains effective for patients who cannot tolerate PEG formulations