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Lifestyle adjustments include eating small amounts of nutrient-dense foods even when appetite is suppressed, avoiding caffeine or reducing intake gradually (caffeine withdrawal itself can cause headaches), and maintaining consistent sleep and meal timing

At 10mg, appetite suppression is strong

Glutathione is crucial for maintaining cellular health, supporting the immune system, and aiding in detoxification, all of which can be compromised as a dog's natural production of this vital antioxidant decreases

Colonic transit test is needed if further work up is necessary for constipation

Weight loss itself is metabolically demanding and can contribute to feelings of tiredness, especially when combined with a new medication