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You find it hard to lose weight because of low energy or a slow metabolism

Appetite suppression will wane over 1014 days as plasma levels fall below the therapeutic threshold

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This can show up as symptoms such as delayed growth and development (failure to thrive), regression in neuromotor skills (such as losing the ability to roll over or grasp objects), failure to maintain eye contact (even in an infant who previous could do so), general muscle weakness, lethargy, excessive sleepiness, feeding difficulties, and even brain shrinkage

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