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Many patients feel a dampening of hunger right away, but it may not be the complete appetite suppression they expect until a few weeks into the protocol

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Oral antihistamines , such as cetirizine or loratadine, may be considered for patients with more generalised or troublesome itching, particularly if there is a history of allergic tendencies

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Keeping a symptom diary noting the frequency, severity, and any associated symptoms can provide valuable information for clinical assessment

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Electron microscopy studies showed neurosecretory granules and detected high urinary levels of vanillylmandelic acid (VMA)

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