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[13] [9] Patients should report any changes in symptoms, particularly neurological manifestations, as these may indicate inadequate dosing or alternative diagnoses

Thats when side effects often appear, such as: Nausea or bloating Dizziness Headaches Constipation Fatigue or low energy Dry mouth and signs of dehydration These symptoms are typically not harmful, but they can interrupt daily routines, especially when combined with lifestyle changes such as a new diet or exercise plan

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Amenorrhea and estrogen disorders in women with kidney disease