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It helps initiate the processes that turn carbohydrates, fats and proteins into a usable form of energy, explains registered dietitian Natalie Romito, RDN, LD

Patients should seek medical attention if they experience severe or persistent gastrointestinal symptoms, signs of pancreatitis (severe abdominal pain radiating to the back), symptoms of thyroid tumors (neck mass, difficulty swallowing, persistent hoarseness), right upper quadrant pain, jaundice, reduced urine output, or unexplained hypoglycemia

2007 Jun 14;447 (7146):864-8

Consider increasing dose if using conservative starting amounts

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however, caution is still necessary