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The decision to initiate pharmacotherapy requires shared decision-making, discussing realistic expectations, potential adverse effects, cost considerations, and the likely need for indefinite treatment duration

Patients with underlying liver disease, kidney impairment, or cardiovascular conditions should avoid lipotropic injections without medical supervision

International residents are advised to consult relevant legislation

However, as noted by the Alzheimers Drug Discovery Foundation (ADDF), virtually all trials involving epithalon have been conducted in Russia and have yet to be independently confirmed [5]

They allow patients to achieve substantial weight loss, often at a rapid rate