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Patients should inform their doctor if they develop symptoms that could indicate thyroid problems while taking these medications, including a lump or swelling in the neck, hoarseness, difficulty swallowing, or shortness of breath
These conditions include tropical sprue and nontropical sprue (celiac disease)
The appetite suppression effect often begins within the first week or two, though significant weight loss typically becomes noticeable around weeks 4 to 8
Start: 2 mg weekly for 4 weeks to assess tolerance [6]
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