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These tests are ordered at least once every 6 months to understand how the drug is performing

They designed this study so this is really on them

It is thought that this medication may negatively impact existing eating disorders (or the risk of development of an eating disorder in high-risk individuals) by the actual desired/ anticipated effect of the drug: increased feeling of satiety and decreased hunger sensation

Wilding JP, Batterham RL, Calanna S, et al

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Common mild side effects at this dose include nausea, which typically subsides within 48 hours, and occasional constipation managed through hydration and dietary fiber adjustment