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Aim for about 2030 grams of protein per shake (or use a mini shake on low-appetite days) to support lean muscle retention during faster weight loss

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Secondary Use : Reducing cardiovascular risks in individuals with both type 2 diabetes and heart disease

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The STEP 1 trial with 1,961 participants [1] documented that 74% of patients experienced at least one gastrointestinal side effect, with nausea affecting 44% and diarrhea occurring in 30%

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The most common include: Nausea Vomiting Diarrhea Constipation Stomach upset These side effects are usually more noticeable when starting treatment or increasing your dose and often improve over time

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However, rodent model studies reveal that reductions in food reward can be obtained with exendin-4 in the absence of aversive GI effects based on site-specific brain application

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