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Precautions include: Monitoring glucose levels closely Adjusting concurrent medications Keeping emergency glucose handy Other Potential Side Effects Injection site reactions Fatigue or dizziness Rare: pancreatitis or thyroid tumors (as warned on labels) Always report unusual or severe side effects promptly

I only recommend a dosage increase if weight loss falls below this threshold or you hit a plateau

Frequently asked questions How much weight can you lose with naltrexone

[1] Yes

Persistent nausea, vomiting, or severe constipation that does not resolve after several months may prompt a switch to the single-mechanism semaglutide