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Gastric bypass was associated with improvement of migraine in 89% of individuals
No changes in effect sizes were observed when excluding individuals with chronic kidney disease, previous pancreatitis and previous falls

[34] If you experience severe or persistent side effects , contact your GP promptly or seek urgent medical attention via NHS 111, 999, or A&E if symptoms are severe

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So, people are being started, I believe in many cases, on too high of a dose to start with