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According to the Summary of Product Characteristics (SmPC) approved by the Medicines and Healthcare products Regulatory Agency (MHRA), the most frequent side effects include: Nausea very common, often most pronounced when starting treatment or increasing the dose Diarrhoea very common, can range from mild to moderate in severity Vomiting very common, may occur particularly during dose escalation Constipation very common, affects a significant proportion of patients Abdominal pain or discomfort common, typically transient Decreased appetite very common, related to the medication's mechanism of action These gastrointestinal symptoms are usually mild to moderate and tend to improve over time as the body adjusts to the medication

It follows a set 16-week dose escalation: Weeks 14: 0.25 mg Weeks 58: 0.5 mg Weeks 912: 1 mg Weeks 1316: 1.7 mg From Week 17 onward: Maintenance dose of 2.4 mg This gradual increase is designed to reduce side effects while optimizing the medications weight loss benefits

Interest in this possibility was rekindled by John Dupr, a Canadian endocrinologist at St Thomas' Hospital in London

P values of less than 0.05 were considered statistically significant

Mechanism #1: Delayed Gastric Emptying GLP-1 medications significantly slow gastric emptyingthe rate at which food moves from your stomach into your small intestine