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In severe cases, dehydration or hypoglycemia (especially if used with certain drugs like insulin or sulfonylureas) can occur

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Neurology 50 , 136145 (1998)

However, dropout rates exceed 40% by month three, and weight regain is common after program discontinuation, suggesting behavioral tools alone may not address underlying metabolic drivers

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L-Arginine also stimulates release of growth hormone (GH)vital to healthy body development