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It is often described as a triple agonist, which means it is designed to stimulate three receptor systems
The primary concerns are cardiovascular strain (increased heart rate/blood pressure) and severe dehydration/malnutrition due to the combined effect of both drugs on your central nervous system and gut.
Many common side effects, like increased urination, thirst, or mild dehydration, often improve within the first few weeks as your body adjusts to the medication
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