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Whilst belching alone is generally not a cause for immediate concern, certain symptoms warrant prompt medical attention

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However, their resultant increase in erythropoietin and as a consequence hematocrit and blood viscosity [11], which could in part be attributed to the effect of SGLT2i to increase sodium excretion and to decrease plasma volume, could predispose to a slight increase in thrombosis [12], thereby offsetting the reduction in stroke that would otherwise be expected from the blood pressure lowering

Patients with structural heart disease (valvular abnormalities, cardiomyopathy, congenital defects) or a history of sustained arrhythmias should have cardiology clearance and repeat ECG at 46 weeks after starting therapy

However, genetics, sun exposure, and lifestyle heavily influence how noticeable or long-lasting your skin-lightening results are