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Maintaining adequate protein intake, engaging in resistance exercise, ensuring sufficient sleep, and achieving gradual rather than excessively rapid weight loss can help preserve hormonal balance and lean body mass during treatment

These include king mackerel, marlin, orange roughy, shark, swordfish, tilefish from the Gulf of Mexico, and bigeye tuna

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But with its growing use, questions about potential side effects also arise

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More serious adverse effects that require monitoring include: Pancreatitis (treatment should be discontinued immediately if suspected) Gallbladder disease (cholelithiasis and cholecystitis) Diabetic retinopathy complications (particularly with rapid HbA1c reduction in patients with pre-existing retinopathy) Acute kidney injury (secondary to dehydration from gastrointestinal side effects) Increased heart rate Hypoglycaemia (particularly when used with insulin or sulphonylureas) Understanding the expected side effect profile helps patients distinguish between typical medication responses and symptoms that may warrant further medical evaluation