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You could end up with nausea, vomiting, and diarrhea, which are fairly common if you're not mitigating it through diet and lifestyle

Three patients in the exenatide group and four patients in the placebo group did not complete the trial

Most patients experience onset between days 3 and 21 after their first injection or oral dose, with the highest incidence occurring during the first dose escalation phase

Hoque R, Malik AF, Gorelick F et al

Muscle tissue burns more calories at rest than fat, making its preservation critical for long-term metabolic health

Lancet Diabetes Endocrinol 13(8):674684 Pv SG, Rada P, Valverde AM Cristina M