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Front Endocrinol (lausanne) 10:389 Gerich JE, Lorenzi M, Bier DM, Schneider V, Tsalikian E, Karam JH et al (1975) Prevention of human diabetic ketoacidosis by somatostatin

It can range from mild to severe and may require medical attention if it persists

Calcagnotto A et al

For me the worst symptom by far was constipation and I had to take medications like Miralax and Magnesium to help somewhat relieve it

(To extend the Netflix metaphor: In this case, Kaiser is the subscriber, and its members are the viewers, crowding around the couch and pressing play.) Relevant here is that insurance companies do have monetary incentives to offer patients an option to lose weight that actually works