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It is also worth noting that hiccups can occur as part of a broader constellation of upper gastrointestinal symptoms, particularly during dose escalation phases when the body is adjusting to the medication
Many respond to the binders alone, but some patients who have had mold exposure for a long period may need an antifungal component of treatment
At a meeting in November 2023, the AMA passed a resolution saying it will "urge all payers to ensure coverage parity for evidence-based treatment of obesity, including FDA-approved medications without exclusions or additional carve-outs." You can read the text of the AMA resolution here
Even then, it is not harmful, though it may lose some efficacy
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