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Fatigue that starts after months of stable treatment or worsens over time may indicate anemia, thyroid disease, or nutritional deficiency
Side effects Most common: nausea, vomiting, diarrhea, constipation, abdominal discomfort, headache, fatigue, injection-site reactions
While fiber optimization helps many patients, it does not replace medical evaluation when symptoms suggest complications
If the patient experiences nausea or other GI side effects, do not increase the dose of pramlintide until the GI side effects dissipate
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