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Common Side Effects The most frequently reported side effects include: Nausea Bloating Acid reflux Constipation Diarrhoea Reduced appetite Early fullness Burping Occasional vomiting Symptoms are often worse when: Eating large meals Eating too quickly Consuming oily or heavy foods Increasing the medication dose too rapidly Many patients improve after several weeks once the body adapts

Participants who missed more than two consecutive phone sessions or deviated from the diet three times in two consecutive weeks were deemed non-compliant

Immune System Reactions: As with any synthetic peptide, there is a risk that the immune system will recognize the drug as a foreign invader, potentially causing an allergic reaction

Clinical settings use intra-articular injection for direct delivery