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The key principle is managing the underlying condition, not tapering the drug

Because sleep apnea is a recognized obesity-related condition, she may qualify for treatment even though her BMI is below 30

Missing a single injection doesn't reverse fat metabolism pathways, but missing more than two consecutive weeks may reduce cumulative benefit, particularly if you're in a steep caloric deficit that depletes baseline methionine and choline stores faster than dietary intake replenishes them

Critical Care Medicine 32 (3): 848-51

For women with known PCOS or other reproductive endocrine conditions, baseline and follow-up assessments of metabolic and reproductive parameters can help distinguish medication effects from underlying disease progression

If the pain intensifies sharply and stops your breath, contact your healthcare provider promptly