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Common early experiences include: Reduced appetite : Many people notice decreased hunger and earlier satiety during meals within days of the first injection or dose Mild gastrointestinal symptoms : Nausea (affecting 20–40% of patients), occasional vomiting, or changes in bowel habits are usually mild and transient Injection site reactions : Minor redness, itching, or discomfort at injection sites is common but typically resolves quickly Fatigue : Some individuals report feeling more tired initially as their body adjusts to reduced calorie intake By weeks 2–4 , appetite suppression typically becomes more pronounced, and patients often find it easier to adhere to portion control and dietary modifications

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It’s not recommended for people with uncontrolled high blood pressure, and its overall weight-loss tends to be less than that seen with newer GLP-1 medications