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These are extremely rare

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~250 mcg/day to start (some begin at 100 mcg to assess tolerance), titrated up as UVB exposure drives the tan

Both alcohol and [GLP-1 drugs] can decrease blood sugar levels, and this could be dangerous, particularly in those that are also on insulin or other blood-sugar-lowering medications, says Brianna Johnson-Rabbett, MD, the interim medical director of the American Board of Obesity Medicine

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This explains why some patients on GLP-1 therapy may regain weight after stopping their metabolic engine has downshifted due to lean mass loss, not fat