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I have patients who didn't lose 30 percent of their starting weight and are not having symptoms and come to surgery

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The most commonly reported effects are gastrointestinal: Nausea (most common, especially early on) Loose stools or diarrhoea Constipation Vomiting Abdominal discomfort or bloating The good news is that these effects are usually mild to moderate, and they tend to settle as your body adapts, typically within the first few weeks of each dose increase

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