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Common side effects from using the drugs may include dehydration and stomach issues, like nausea, diarrhea or constipation

Managing them successfully involves practicing mindfulness at mealtimes, choosing lower-glycemic sweet foods like dark chocolate and fresh fruit, and using physical activities or hobbies instead of food to distract the brains reward center

For some people, this means purchasing the drug from an international manufacturer or compounding pharmacy to access non-standard doses, explains Mitch Biermann, MD, PhD , an internal and obesity medicine specialist at Scripps Clinic

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