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This is unlike most weight-loss drugs, which tend to only hit one or two of these targets
If serum copper exceeds 200 mcg/dL or hepatic involvement is present, consult hepatology and consider copper chelation therapy (penicillamine or trientine per hepatology guidance)
Obesity costs the U.S
Regular monitoring should include pain assessments, inflammatory markers such as C-reactive protein, and imaging studies when indicated
Associated symptoms included hypotonia, muscle weakness and failure to thrive
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