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Patients taking antispasmodics (dicyclomine, hyoscyamine), fiber supplements, or gut-directed therapies should maintain these unless side effects become problematic

Factors that may influence dosing decisions include: Current weight and weight history Response to treatment Appetite control Side effects Overall health goals Regular reviews with a healthcare professional help ensure treatment remains safe and appropriate

However, diabetes and obesity are both metabolic disorders, and there is a growing recognition that obesity, diabetes, and arrhythmias (especially AF) are closely intertwined epidemics