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By slowing digestion, these medicines keep food and stomach acid in the stomach longer, which can lead to gas, bloating or burping, said Rebecca Dawson, D.O., a weight management physician at Inspira Bariatrics and Weight Management Mullica Hill

But for all of Novo Nordisk's Danish high-mindedness, there is a growing chorus of complaints in America

Users describe being charged early, double-charged, or charged for medication they never received

Some patients report that musculoskeletal discomfort tends to peak during the initial titration phase or periods of rapid weight loss, then gradually diminishes over subsequent weeks to months, though this observation is largely anecdotal and not well-documented in clinical studies