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Most patients commit to a structured titration phase followed by a maintenance approach calibrated to their metabolic response

Side Effects All three medications share similar side effects due to their common active ingredient: Most Common Side Effects: Nausea (most common when starting or increasing dose) Vomiting Diarrhea Constipation Abdominal pain Headache Fatigue Serious Side Effects (Rare): Thyroid tumors (including medullary thyroid carcinoma) Pancreatitis Gallbladder problems Kidney problems Diabetic retinopathy complications Severe allergic reactions Important : These medications carry a boxed warning about thyroid C-cell tumors and should not be used by people with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2

it can lead to Sarcopenia (muscle wasting)