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What many people notice in the first week Experiences vary, but often discussed patterns include: Lower or inconsistent appetite Feeling full sooner than expected Lower energy on some days Digestive discomfort if meals are too large or rich Nausea Constipation Cravings or food aversions These changes are commonly reported and often improve as routines and intake become more consistent
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Most patients report "back to normal" or "new normal" by week 20 to 24
Investigate selectively Laboratory testing should be directed by the history and examination rather than ordered as an indiscriminate hair panel. Depending on the presentation, evaluation may include a full blood count, ferritin and iron studies, thyroid testing, vitamin B12, folate, vitamin D or zinc
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