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Common adverse effects include gastrointestinal symptomsnausea, vomiting, diarrhea, and constipationwhich are usually mild to moderate and diminish over time

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Adding more water makes each dose a larger volume, which is easier to measure accurately but means drawing and injecting more liquid

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Studies published in Diabetes Care and Obesity show that dose escalation during plateaus produces additional 37% body weight loss in 6070% of patients

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