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The combination of GLP-1-mediated insulin effects, keto-induced glucose reduction, and any other diabetes medications creates real hypoglycemia risk that needs active management

Although both work together to maintain bone health, too much calcium may lead to hypercalcemia, a condition with symptoms like nausea, vomiting, weakness, and severe kidney problems like renal failure

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While this is unlikely to cause serious harm, it can affect appetite suppression consistency and may increase side effects temporarily