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The most common side effects are gastrointestinal and tend to improve after the first few weeks: Nausea, vomiting, or diarrhea (most common, especially early on) Constipation or stomach discomfort Reduced appetite Less common but serious side effects include pancreatitis, gallbladder issues, and low blood sugar particularly in patients taking diabetes medications

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Multiple clinical trials confirm this with consistent results

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Hebah Almahariq: contributed to design, interpretation, drafted and critically revised the manuscript and gave final approval

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