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I'd take it randomly, sometimes morning, sometimes evening, sometimes not at all when I forgot

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Other heart problems could be a thickening of the left side of the heart that could turn into dilated cardiomyopathy a weakened, enlarged heart that cant pump blood efficiently, causing a decrease in the ejection fraction, a measure of how much blood the left ventricle pumps out with each contraction

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Setting realistic expectations, attending regular follow-up appointments and making long-term lifestyle changes can help maximise the benefits of treatment while supporting lasting weight management