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Changes in blood flow: Medications that alter metabolic processes and blood flow could directly or indirectly affect clotting mechanisms

Several vascular growth factors are produced by enlarged adipocytes, for example, vascular endothelial growth factor (VEGF), hepatocyte growth factor (HGF), and angiogenin, which may in turn facilitate the expansion of adipose tissue

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Whyte MP, Zhang F, Wenkert D, McAlister WH, Mack KE, Benigno MC, et al

Management approaches include increasing fiber intake gradually (too much fiber at once worsens bloating), drinking at least 64 ounces of water daily, taking magnesium citrate (400-600mg at bedtime), and increasing physical activity