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While most adverse effects observed have been manageable, certain patient profiles present a higher risk for complications and should be screened carefully before treatment initiation

A fish-like body odor can result from extreme excess consumption of TMA precursors such as choline, carnitine and betaine (usually unobtainable via regular dietary intake, it requires high levels of supplement intake)

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This is within the typical range for rapid weight loss but better than what is seen with some less sophisticated approaches