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Tell your doctor or pharmacist if you notice any of the following and they worry you: Diarrhoea Nausea Headache Vomiting Dizziness Acne Skin rash Pain or redness at the injection site Feeling hot or cold

These effects are most common during the first few weeks or after a dose increase

This mathematical reality matters when weighing potential harms against documented benefits like 20%+ weight loss, diabetes remission, and cardiovascular risk reduction