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These commonly include: Nausea often the most reported symptom, typically mild to moderate Vomiting less common but possible, particularly after eating too quickly or too much Diarrhoea or constipation bowel habit changes are frequently noted Bloating and indigestion a sensation of fullness or discomfort after meals Fatigue some patients report low energy levels in the early weeks These effects are generally transient and tend to improve as the body adapts to the medication

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Wang Y, Zhai W, Li J, Liu H, Li C, Li J

(8) Mozaffarian, D., et al