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QSYMIA should be discontinued at the first sign of a rash, unless the rash is clearly not drug-related

Interestingly, some patients experienced delayed relapses at more than 5 years postoperatively

Like other enzymes that transfer two-carbon groups, transketolase requires thiamine pyrophosphate (TPP) as a co-factor in the transfer reaction

As a result, glucose builds up in the blood, overflows into the urine, and passes out of the body, never fulfilling its role as the body's main source of fuel.

To minimize side effects, follow a slow and steady dosage increase and maintain open communication with your healthcare provider