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Take your dose on an empty stomachideally 30 minutes before eating or drinking anything except water
A few people have reported no improvement or even temporary flaresespecially with rapid weight loss, which can cause hormonal shifts and skin changes that worsen HS short-term
Reconstituted shelf life is shorter than the lyophilised form
A psychiatrist offering integrated mental health + weight management could differentiate well
Other serious risks involve changes in mood or mental health
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