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However, the risk increases significantly when combined with sulphonylureas or insulin, as noted in NICE guidance (NG28)

Practice stress management strategies like exercise, meditation, yoga, or deep breathing

This extended use may contribute to better final strength and cosmetic outcome

Red flags that mean "see your doctor" Certain symptoms indicate your nutrition plan needs professional intervention, not just self-adjustment: Persistent inability to eat more than 800 calories per day despite trying Significant hair loss (more than normal shedding) Extreme fatigue that does not improve with rest and adequate food Persistent nausea beyond six weeks after a dose increase Unexplained muscle weakness or cramping Dizziness or fainting episodes Severe constipation lasting more than a week despite dietary interventions These could indicate nutritional deficiency, medication dosage issues, or other medical concerns that require bloodwork and professional assessment