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Very common side effects (affecting more than 1 in 10 people) include: Nausea particularly during the initial weeks of treatment or following dose increases Diarrhoea loose or frequent bowel movements Decreased appetite often considered a therapeutic effect but can be troublesome for some Common side effects (affecting up to 1 in 10 people) include: Vomiting which may occur alongside nausea Constipation affecting some individuals, particularly with higher doses Abdominal discomfort or pain ranging from mild bloating to cramping Dyspepsia (indigestion) a sensation of fullness or discomfort in the upper abdomen Beyond the digestive system, patients may experience injection site reactions such as redness, itching, or swelling where the medication is administered

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