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Common side effects during the first 2-4 weeks include mild nausea, reduced appetite, and occasional fatigueeffects that typically diminish as your body adjusts to the medication

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While some people see a subtle plumping effect right away, the real magic happens over time

Red flags that require medical evaluation A sustained resting heart rate above 100 beats per minute (tachycardia) at rest is never normal and should prompt medical evaluation regardless of the cause