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Common experiences include: Feeling full sooner during meals Reduced hunger between meals Less interest in snacking Fewer cravings for sweets or highly processed foods Some people notice these changes within days, while others may require a few weeks before appetite suppression becomes obvious

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SIM is characterized by its systemic and symmetrical nature, presenting with weakness in the limbs (more proximal than distal) and respiratory muscles, while facial and ocular muscles are generally unaffected (13-15)