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However, if you experience any side effects that may affect your ability to drive or operate machinery, such as dizziness or hypoglycemia (low blood sugar), use caution and consult your doctor

However, chronic high-dose use beyond 12 months without periodic reassessment can mask underlying deficiencies or metabolic dysfunction if you require continuous lipotropic support to maintain normal fat metabolism, the underlying cause (hypothyroidism, insulin resistance, genetic methylation impairment) should be investigated

Consistent adherence to the trial regimen, alongside dietary and lifestyle modifications, is essential to support the medication's mechanism of action and achieve meaningful outcomes over time

References Public Health England

Severe nausea is not uncommon and can significantly impact adherence