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Gradual titration helps reduce nausea and improve tolerance

Common side effects may include: Nausea Vomiting Constipation Diarrhea Bloating Reduced appetite Some patients need extra caution if they have a history of: Pancreatitis Gallbladder disease Kidney problems Severe stomach issues Certain endocrine conditions Call a doctor right away if you notice: Severe stomach pain Repeated vomiting Signs of dehydration Shortness of breath Sudden weakness Avoid unsafe online sellers and never use another persons prescription

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Consult your provider before starting if you have diabetes, thyroid disorders, or cardiovascular conditions