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The most common side effects are gastrointestinal, and they include: Nausea Vomiting Diarrhea Constipation Bloating Fatigue Plus, many of these symptoms are manageable with some lifestyle and dietary changes, like eating slowly, practicing portion control, and limiting greasy, fried, and processed foods

The absence of immediate clinical markers comparable to blood glucose can make it harder to assess progress in a structured way

It is important to distinguish between expected injection site reactions and signs of infection or allergic response

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