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Some users report transient fatigue, mild headaches, dizziness, sleep changes, or water retention, particularly during the first 1-2 weeks

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Perelas A, Silver RM, Arrossi AV, Highland KB

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Make sure youre training adequately, eating right, getting enough sleep, and avoiding alcohol and nicotine products, he advises

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Exenatide extended-release carries a boxed warning for thyroid C-cell tumors and is contraindicated in patients with personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2

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