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Long term use may lead to serious complications such as stomach bleeding and kidney problems

If there are no side effects and that dose is effective, continue with that strength and dose

This may include: Previous and current medical issues Medications you are taking Family medical history Sleep patterns Eating patterns Activity patterns Stressors Stress-coping mechanisms Talk About Diet and Exercise Your doctor also will talk to you about your diet and exercise habits

Understanding why stalls occurfrom metabolic adaptation to hormonal changesand implementing evidence-based strategies can help patients resume progress