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If you have sleep apnea, use your CPAP device consistently

However, for patients who have already reached a healthy weight, microdosing may help maintain results while potentially providing ongoing metabolic benefits with fewer side effects

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In an open-label case series, pyridostigmine was beneficial in relief of symptoms in children with such upper gastrointestinal motility problems as chronic intestinal pseudo-obstruction, delayed small bowel transit accompanying gastroparesis, and chronic constipation associated with failure to thrive

Common adverse effects include gastrointestinal symptoms (nausea, vomiting, diarrhoea, constipation), which typically improve over time