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Sometimes the fix is protein, hydration, digestion, or small changes to meals

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More common side effects: Blurred vision chest pain or discomfort confusion dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position slow or irregular heartbeat sweating unusual tiredness or weakness Less common side effects: Bloating or swelling of the face, arms, hands, lower legs, or feet chest tightness cough decreased urine output difficult or labored breathing difficulty with speaking dilated neck veins disturbed color perception double vision fast, pounding, or racing heartbeat or pulse halos around lights headache inability to move the arms, legs, or facial muscles inability to speak irregular breathing loss of vision night blindness noisy breathing overbright appearance of lights pain, tension, and weakness upon walking that subsides during periods of rest paleness or cold feeling in the fingertips and toes rapid weight gain seeing, hearing, or feeling things that are not there short-term memory loss slow speech swelling of the face, fingers, feet, or lower legs tingling of the hands or feet tingling or pain in the fingers or toes when exposed to cold temperatures trouble breathing tunnel vision unusual weight gain or loss Rare side effects: Bluish color of the skin of the fingers or toes chills clay-colored stools continuing loss of appetite continuing or severe abdominal or stomach pain continuing or severe nausea and vomiting dark urine difficulty with moving fever hoarseness increased frequency of urination itching skin light-colored stools lower back or side pain muscle pain or stiffness numbness of the fingers or toes pain, swelling, or redness in the joints rash sore throat sores, ulcers, or white spots on the lips or in the mouth unpleasant breath odor unusual bleeding or bruising upper right abdominal or stomach pain vomiting of blood weakness yellow eyes and skin If you have any severe side effects seek medical assistance as soon as possible

Monitoring side effects is crucial, especially when combining with other treatments like Botox

Medical records, laboratory testing, BMI documentation, and treatment history may be required