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Document Your Health Conditions Make a list of any diagnosed conditions that might be weight-related: diabetes, prediabetes, hypertension, high cholesterol, sleep apnea, fatty liver disease, PCOS, joint problems, etc

The most common include: Nausea (usually temporary and decreases over time) Gastrointestinal discomfort Constipation or diarrhea Fatigue in the initial weeks In my Miami practice, Ive found that starting with lower doses and gradually increasingalong with specific dietary recommendationssignificantly reduces these side effects

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Despite this initial flicker of hope, most physicians are tempering their expectations