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Other reported complications include acute kidney injury resulting from dehydration due to severe gastrointestinal side effects, such as vomiting and diarrhea

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Appetite may start creeping up toward the end of week two

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doi: 10.1016/j.phrs.2022.106320, PMID: [DOI] [PubMed] [Google Scholar] 29

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A physician may need to evaluate persistent vomiting, severe abdominal pain, signs of dehydration, worsening reflux, gallbladder symptoms, low blood sugar risk in patients using diabetes medications, kidney function concerns, unintentional under-eating, rapid weakness or muscle loss, and medication interactions

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