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Studies show "increased energy and slight weight changes within the first few weeks" with more substantial changes following

It also aids in producing neurotransmitters, which are chemicals that help communicate between neurons in the brain, improving brain function

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Effective preventative measures for patients at risk for cholelithiasis include a slower rate of weight loss, increasing/including some dietary fat in the diet (assuming the patient has been on a very low-calorie diet containing little or no fat), or administration of ursodeoxycholic acid

I had similar issues, though not as drastic as yours