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Lipid panels (LDL-C, triglycerides) should be checked at baseline and 8 weekssome individuals show transient LDL elevation from increased circulating FFAs during active fat loss phases

These include: Nausea (most common, especially during dose escalation) Vomiting Diarrhea Constipation Reduced appetite (expected and part of the mechanism) Abdominal discomfort These effects are most pronounced during dose titration and tend to diminish over time as the body adapts

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Thorough clinical notes detailing the fluid volume depletion protect the healthcare facility against aggressive post-payment payer audits