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But the real-world concerns I hear every day are not hard to predict: How long do I have to stay on this? What happens if I stop? Will insurance keep paying? Can I afford this for years? Is there a better long-term alternative? Those are smart questions
This is normal and does not indicate degradation
21 Low rates of impulse control disorder (ICD) have been reported with Duodopa, and some would consider Duodopa specifically in cases with troublesome ICD
The primary evidence-based interventions remain: Weight loss through caloric restriction and increased physical activity (target 710% body weight reduction) Dietary modification , including reduced sugar and saturated fat intake Management of associated conditions such as diabetes and dyslipidaemia Alcohol : for NAFLD, keep within UK low-risk drinking guidelines (no more than 14 units per week, ideally less or none)
