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Many patients begin to notice better appetite, reduced fatigue, and improved daily energy within 3 to 4 weeks, but long-term stability requires consistent follow-up and treatment adjustment

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Depigmentation is rarely used

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Real-world example: Instead of breakfast (2 eggs, toast, bacon 600 calories), lunch (sandwich, chips 700 calories), dinner (pasta, chicken 800 calories), switch to: 8am (Greek yogurt, berries 200 cal), 11am (protein shake 250 cal), 2pm (chicken salad 300 cal), 5pm (turkey, vegetables 250 cal), 8pm (cottage cheese, fruit 200 cal)