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The amino acid's role extends beyond simple neurotransmitter production to include thyroid hormone synthesis, where it serves as a backbone component for thyroxine (T4) and triiodothyronine (T3) formation

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Eur J Dent

The most common adverse effects relate directly to the medication's impact on stomach function and include: Nausea and vomiting affecting many patients initially, particularly during dose escalation Constipation or diarrhoea due to altered gut motility Abdominal discomfort or bloating from delayed gastric emptying Reduced appetite often the desired therapeutic effect Early satiety feeling full after eating very small amounts These effects are typically most noticeable when initiating treatment or increasing the dose

Medicaid does not have to cover these, though some state programs do

The side effects are mostly in the Gastrointestinal area: Nausea and vomiting Diarrhea or constipation Abdominal pain Dizziness, Tachycardia, Infections, Headaches being lesser reported