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Additionally, gastrointestinal complicationsincluding gastric paralysis, intestinal obstruction, and severe constipationoccur more frequently in people already eating minimal amounts, since the drug's anti-motility effects operate on an already-reduced food volume

Theres also no signal of increased risk of thyroid cancer from the real-world data

Aim for at least eight glasses of water a day, and consider incorporating herbal teas and broths, which can also contribute to hydration

worst during first weeks and after dose increases Diarrhea Reported by ~30% of participants Constipation Affects ~24% of patients Vomiting Occurs in ~24% of patients, usually transient Abdominal discomfort Mild cramping or bloating, particularly after meals Rare but Serious Risks Our medical team screens for all contraindications before prescribing

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