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What are the common side effects?

Side effects most people get, what helps, and when to call

Most people get some. Most of it is your digestive system adjusting, and most of it settles down.

The common ones, mostly stomach related

• Nausea (the most common by far)

• Constipation or diarrhea

• Burping, reflux, indigestion

• Stomach cramping

• Vomiting

Others people mention

• Tiredness

• Headache

• Dizziness

• Soreness or a small bump where you injected

Things that genuinely help

• Eat smaller amounts more often.

• Skip greasy, fried, and very rich food, especially in the first days after a dose.

• Drink water steadily through the day. Dehydration makes nausea worse and constipation much worse.

• Add fiber gradually.

• Stop eating when you feel full rather than when the plate is empty. This is a real adjustment and it takes practice.

• If one day of the week is always your worst, tell your provider. Timing can sometimes be adjusted.

Call your provider promptly if you get

• Severe stomach pain, especially pain that goes through to your back

• Vomiting that stops you keeping fluids down

• Signs of dehydration — very little urine, dizziness when you stand

• A lump or swelling in your neck, or trouble swallowing

• Severe pain in your upper right side

Call 911 or go to the emergency room now if you have

Trouble breathing. Swelling of your face, lips, or throat. Severe chest or stomach pain.

You are not being dramatic by asking. Message us and we will get your provider involved.

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