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doi:10.2305/IUCN.UK.2007.RLTS.T9865A13022716.en

But my primary care provider reassured me it wasn't on the list of side effects

Common factors include stress, changes in weight, excessive exercise, illness, travel, and hormonal imbalances such as thyroid disorders or polycystic ovary syndrome (PCOS)

Because the study was observational, it cannot establish causation, but it does suggest a meaningful association that has prompted further investigation

Many patients begin noticing reduced appetite within the first few weeks, with more noticeable weight changes over several months as the dose is gradually adjusted

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