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Clinicians should establish a monitoring schedule including follow-up at 4 to 8 weeks after initiation to assess tolerability and side effects, HbA1c measurement every 3 months until stable, then every 6 months, regular weight and blood pressure monitoring, periodic renal function and lipid panel assessment, and evaluation for signs of pancreatitis, gallbladder disease, or other serious adverse events

While -3 PUFAs are considered to have beneficial effects 40 , consumption of PUFAs has also been linked with more severe ALD in humans and experimental animals 41

On the other hand, tramadol is a well-known opioid analgesic prescribed for pain relief

ADHD is reported in ICD-10-CM under the F90.- code family