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It's important to screen for reversible causes of tachycardia , including: Dehydration Infection Anaemia Thyroid dysfunction Use of stimulants, decongestants or other medications affecting heart rate Lifestyle modifications can help optimise cardiovascular health: Adequate hydration, as dehydration can exacerbate tachycardia Gradual increase in physical activity as weight loss progresses Stress management techniques Avoidance of excessive caffeine and stimulants Smoking cessation support where applicable For patients with pre-existing cardiovascular conditions , closer monitoring may be warranted

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Even modest weight loss (510%) can yield significant health improvements, so a plateau does not mean the medication isnt working