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Second, the presence of Schwannian whorls, a peritumoral capsule, subcapsular lymphocytes, macrophage-rich infiltrates, and the absence of fascicles favored the diagnosis of cellular schwannoma, while the presence of perivascular hypercellularity, tumor herniation into vascular lumens, and necrosis favor malignant peripheral nerve sheath tumor

Most side effects improve within the first few weeks

Why this matters: Higher doses slow digestion more aggressively Sudden appetite suppression can shock your system Increases risk of nausea, fatigue, and dizziness What to do: Follow a gradual dosage plan Stay at each dose level until your body adapts Never increase dose just to speed up weight loss Key Insight: Slower progression = fewer side effects + better long-term results 2

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