peaks during dose escalation, typically mild-moderate Diarrhea -- 10-20%, usually transient Constipation -- 8-15% Vomiting -- 5-15%, more frequent at higher doses Injection site reactions -- 5-10%, mild erythema and pruritus Decreased appetite -- 5-12%, related to mechanism of action Pancreatitis -- rare but monitored (as with all GLP-1/amylin agents) Gallbladder events -- cholelithiasis reported, consistent with rapid weight loss Trial data describes dose titration as central to tolerability -- the 16-week escalation protocol substantially reduced GI adverse events
The gradual dose escalation helps minimize gastrointestinal side effects, which are among the most common adverse reactions associated with this medication class
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However, this effect can also lead to gastrointestinal adverse effects, including nausea, vomiting, diarrhoea, and constipation , which are among the most commonly reported side effects
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If it is constant and unrelated to injection timing, it is more likely the baseline exhaustion of new parenthood