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These include: Nausea (most common, especially during dose escalation) Vomiting Diarrhea Constipation Reduced appetite (expected and part of the mechanism) Abdominal discomfort These effects are most pronounced during dose titration and tend to diminish over time as the body adapts

Let your doctor know if you are taking any other medications like antihypertensives, antibiotics, or medicines for heart disease or bone disorders.

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