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If weight is actively worsening health or if complications arise that medication could address quickly, these delays create unnecessary risk

Nausea is the most common first-week side effect, affecting up to 44% of patients on higher doses, alongside bloating, constipation, or diarrhoea, which typically diminish over 24 weeks

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This marked decrease in appetite may lead to insufficient energy availability for exercise, particularly during moderate to high-intensity workouts