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You are taking the medication to improve your body composition and health, but the visible abdominal distension makes you feel like your midsection looks worse, not better

GI side effects usually stabilize during this phase

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A vitamin D deficiency can also occur from low dietary intake of the vitamin or sparse sun exposure

Weinstock RS, Xing D, Maahs DM et al (2013) Severe hypoglycemia and diabetic ketoacidosis in adults with type 1 diabetes: results from the T1D Exchange clinic registry

doi: 10.1016/j.ejpb.2018.10.013