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It hasn't been monitored for that long, so I think it's worth continuing to monitor.'' This article originally appeared on USA TODAY: Serena Williams fuels talk: Can weight loss drugs aid athletes?

Fatigue during dose escalation can be temporary, but ongoing tiredness may point to anemia, thyroid disease, depression, sleep apnea, kidney issues, medication effects, or repeated nighttime hypoglycemia

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Once the body adjusts to a stable dose, or if the dose is slightly reduced, the sensation typically diminishes or disappears entirely over several weeks or months