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Many patients notice small shifts of a few pounds often related to changes in appetite, water balance, or dietary patterns rather than dramatic weight changes right away

While 1544% of patients experience gastrointestinal symptoms like nausea, these typically represent expected pharmacologic effects rather than true gastroparesis, which requires objective confirmation through gastric emptying studies

Baseline markers may include: Fasting glucose HbA1c Lipid panels Body composition measurements when available Without baseline measurements, it becomes difficult to determine whether metabolic changes are occurring or whether dose adjustments are producing meaningful effects

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So do I keep it or throw it? Quick Decision Guide Stayed below 86F / 30C