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Adverse effects associated with dosing errors have included nausea, vomiting, abdominal pain, fainting, headache, dehydration, gallstones, and inflammation of the pancreas

It is typically temporary and resolves as weight stabilizes, but it can be distressing and is worth knowing about in advance

Zhou et al., 2018)

A 6-week phase 1 SAD study in lean and overweight participants shows a mean weight loss ranging 1.8% to 3.3% in the higher dose groups (3.5-6.0 mg), compared to weight gain of 1% for the placebo groups (85)

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If you arent eating enough iron-rich foods (like meats, beans, or leafy greens), you could develop iron deficiency