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Diarrhea occurred in 13.3-16.4% of patients, vomiting in 6.2-9.8%, and dyspepsia (indigestion) in 6.1-9.6% of participants

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The starting dose is 2.5 mg once weekly via subcutaneous injection for the first 4 weeks

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These symptoms may indicate complications such as esophagitis, stricture, Barrett's esophagus, or other serious conditions that require endoscopic evaluation and specialized management

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Second, the gap between currently available alternatives (semaglutide at 15%) and tirzepatide (20-22%) may close significantly within the next 1-2 years as these newer options reach the market

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