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Common adverse effects are predominantly gastrointestinal and typically emerge during dose escalation: Nausea (affecting 2050% of users initially) Vomiting and diarrhoea Constipation Abdominal pain and bloating Reduced appetite (therapeutic effect but may be excessive) Fatigue and headache Injection site reactions (redness, swelling or itching) These effects usually diminish over several weeks as the body adjusts

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Fruits: Certain fruits, such as apples, bananas, and berries, contain soluble fibers that can be fermented into butyrate

[1] [2] This combination of effects explains why these medications are effective for weight management as well as diabetes control

You are the type of patient who does not need frequent provider interaction, since the consultation model is primarily asynchronous messaging