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Mild nausea during dose escalation Decreased appetite (intended effect) Mild digestive changes Injection site reactions Temporary fatigue Mild dizziness Gallbladder concerns with rapid weight loss Pancreatitis (requires monitoring) Side effects peak during dose escalation periods, typically weeks 4 to 10

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[DOI] [PMC free article] [PubMed] [Google Scholar] 71.Zhang W., Liu H.T