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Other side effects of metoprolol Aside from weight gain, metoprolol can cause the following serious side effects: Slow heartbeat Palpitations Shortness of breath Worsening or new chest pain Swelling of the hands, ankles, or feet Less serious side effects include: Drowsiness Fatigue Low blood pressure Dizziness Alternatives to metoprolol The benefits of beta blockers outweigh the risk of weight gain, says Dr

The reasons are multifactorial, but one key obstacle is limited access

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Effectiveness of lifestyle-based weight loss interventions for adults with type 2 diabetes: a systematic review and meta-analysis

They should only be performed in a clinical setting by a licensed medical practitioner