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If a patient has vomiting, poor fluid intake, kidney disease, or is taking medicines such as diuretics, ACE inhibitors, ARBs, NSAIDs, or certain kidney-related medicines, dehydration can become more serious

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What matters is consistency and progressive overload, gradually increasing the challenge over time

Whilst this increase is generally clinically insignificant in healthy individuals, patients with pre-existing tachyarrhythmias or significant cardiac disease should be monitored appropriately

Youre getting the same active ingredient plus targeted additions that address the two most common concerns with GLP-1 therapy