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Restarting often produces good response rates, though some individuals report slightly diminished appetite suppression with repeated cycles

But insulin dose reduction needs to be done carefully and gradually, with close CGM monitoring, to avoid either hypoglycemia (from too much insulin relative to your new needs) or hyperglycemia (from reducing too aggressively)

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Lactating women need approximately 450 to 500 extra calories daily to maintain adequate milk production

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[11] [12] However, it's important to note that the absolute risk of clinically significant aspiration remains low, and evidence is primarily from case reports and observational studies rather than controlled trials