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Many people do start to feel a slight reduction in food noisethose intrusive thoughts about eatingeven at this low level

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The most common side effects reported in clinical trials were: Nausea Vomiting Diarrhea Stomach pain Constipation Weight loss Less common but more serious side effects include: Serious, lifethreatening allergic reactions Increased risk of certain thyroid tumors, including medullary thyroid carcinoma (MTC) Increased risk of multiple endocrine neoplasia syndrome type 2 (MEN 2) Pancreatitis (inflammation of the pancreas) Diabetic retinopathy complications and vision changes Low blood sugar (hypoglycemia), especially when used with other diabetes medications Worsening kidney disease Gallbladder disease and gallstones This list is not exhaustive