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Commonly Reported Effects Include: Mild nausea or stomach upset Slight muscle cramping in rare cases A temporary fishy body odor (due to metabolite trimethylamine) To minimize discomfort, always begin with a lower dosage and increase gradually as your body adapts

Seek specialty care when appropriate: Dermatologists and obesity medicine physicians are trained to individualize treatment safely

The Lancet+1 Pros of observational data: large numbers, real world

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Table 12-1 COMPARATIVE FEATURES OF COMMON NEVOMELANOCYTIC NEVI (NMN), DYSPLASTIC NEVI (DN), AND SUPERFICIAL SPREADING MELANOMA (SSM) Dermoscopy