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The side effects are real annoying at best and debilitating at worst and can include nausea, diarrhea, cramps and abdominal pain, constipation, vomiting, gastroesophageal reflux, gastroenteritis, pancreatitis, gastroparesis, intestinal obstruction, gall bladder disease, headaches and potential risk for certain types of thyroid and endocrine cancers, among other adverse effects

This effect is particularly relevant during physical exertion, as it may promote greater fat loss

It demands commitment to lifestyle changes, consistent medication use, and ongoing medical supervision to monitor progress and adjust treatment as needed

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