These benefits include: It reduces appetite, promotes fullness, and curbs cravings, making it easier to be on a reduced-calorie diet
In groups 3 and 4 (no history of diabetes), there was an increase in prediabetes or abnormal glucose diagnosis from 18% to 22% over the study years
7 ADA Standards of Medical Care in Diabetes The ADA annually updates its Standards of Medical Care in Diabetes

Patients should: Stay well hydrated Eat smaller, more frequent meals Avoid high-fat, greasy, or very spicy foods if experiencing nausea Report persistent or severe symptoms to their prescriber When to seek medical advice: Contact your GP or diabetes team for: Persistent vomiting or diarrhoea Concerns about medication effects or side effects Symptoms of hypoglycaemia if taking other diabetes medications Contact NHS 111 or seek urgent care for: Severe, persistent vomiting preventing fluid intake Signs of dehydration (dark urine, dizziness, reduced urination) Severe or persistent abdominal pain, particularly if radiating to the back (potential pancreatitis) Pain in the right upper abdomen, yellowing of skin/eyes (potential gallbladder issues) Sudden vision changes Allergic reactions (rash, difficulty breathing, facial swelling) Most patients find that side effects diminish significantly after 812 weeks, and the benefits of appetite control and metabolic improvement become more apparent

Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration
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