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and Ahmed et al

Based on clinical trial data: Common: Nausea (22-40%most common complaint) Flushing (14-17%) Headache (9-14%) Injection site reactions Less common: Vomiting Fatigue Dizziness Serious concerns: Transient blood pressure increases Hyperpigmentation with frequent use Contraindicated in uncontrolled hypertension or cardiovascular disease The nausea can be dose-limiting for some individuals

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Without regular labs and follow-up, side effects can go unnoticed longer than they should

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