Facial changes typically become noticeable after a person has lost a significant amount of weight, usually around 15 to 20 pounds
However, many patients find that certain timing strategies help them feel better during workouts: Avoid intense exercise within 24 hours of injection during the early titration phase, when nausea and fatigue are most common
From someone who takes one
If the bad breath persists despite these measures, talk to your dentist or GP
Johansen NJ, Dejgaard TF, Lund A et al (2020) Efficacy and safety of meal-time administration of short-acting exenatide for glycaemic control in type 1 diabetes (MAG1C): a randomised, double-blind, placebo-controlled trial
But GLP-1 and GIP activation counterbalance this effect, maintaining metabolic stability while capturing glucagons thermogenic benefits