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Before making a choice, consider factors like availability, potential delays in getting compounded medication, and the uncertainty of a lack of FDA oversight
Obesity (Silver Spring) 2024;32:168998
The drugs have different profiles so a patient who has GI symptoms on one drug might tolerate a different drug in the class
If you are experiencing any of them, the medication is working
If serum copper exceeds 200 mcg/dL or hepatic involvement is present, consult hepatology and consider copper chelation therapy (penicillamine or trientine per hepatology guidance)
Regular monitoring should include pain assessments, inflammatory markers such as C-reactive protein, and imaging studies when indicated
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