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Nausea Vomiting Diarrhea or constipation Reduced appetite that some patients find uncomfortable Fatigue and headaches in the early adjustment period Heartburn or reflux Occasional injection site soreness Both medications also carry a boxed warning about thyroid C-cell tumors based on animal studies, and neither is appropriate for patients with a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome
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