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Factors that influence results include your starting weight or BMI, diet quality, exercise habits, consistency, and metabolic response

Meera Shah, an endocrinologist at the Mayo Clinic, said that by far the most common side effect she sees in patients is nausea, followed by abdominal pain, constipation and diarrhea

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Q.et al (2023b)

This requires daily dosing plus an insulin stimulus to drive uptake into muscle over weeks to months