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However, it can also cause digestive problems , such as: Constipation slower digestion can lead to harder stools that are difficult to pass Bloating and gas food takes longer to move through the gut Nausea a common side effect, especially when first starting the medication Diarrhea in some cases, digestion may be disrupted in a way that leads to loose stools These digestive changes are important because they can contribute to hemorrhoids

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It is best to inject directly through the skin