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Instead of changes on the scale, early signs may include: Feeling less hungry between meals Thinking about food less often Feeling satisfied with smaller portions These cues typically suggest that the medication is starting to take effect, even if visible weight loss has not yet appeared

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Providers first perform upper endoscopy ruling out mechanical obstructions

Once the primary modes a failure have been identified, research can be done to determine the extent of the risk and how long it will take for these modes of failure to progress enough to end the shelf life

Better to pre-empt the conversation, I figured

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