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You Should Take Action If: You have been on a stable maintenance dose for more than four weeks with zero appetite suppression, your weight loss has completely stalled for over a month alongside high hunger levels, or you are experiencing extreme food noise that makes it impossible to follow your nutritional plan

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For most patients, gastrointestinal upset subsides after the first month or two of treatment

This reduces anxiety about being caught unprepared

The medication slows gastric emptying, which means heavy, fatty proteins sit in your stomach longer and can trigger bloating , nausea, and discomfort