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10.1006/bbrc.2000.3269

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Other long-term considerations include gastrointestinal adaptation (most patients find side effects diminish significantly after the first 3-6 months), nutritional deficiencies that can develop with prolonged reduced caloric intake, and the psychological adjustment of maintaining a dramatically different body weight and relationship with food

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For a number of years, Ive had a low red platelet count and frequently a high red cell volume