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These medications are often sourced from shady chains of supply

Patients should be counseled that while gastrointestinal side effects are common with weight loss injections, persistent or severe symptoms always warrant medical evaluation to rule out serious complications and ensure appropriate management

Episodes tend to cluster in the early weeks and often resolve spontaneously

Ultrasound at the site of maximal tenderness may reveal a hyperechoic, noncompressible mass with absent central blood flow on Doppler imaging and can be useful in select populations, such as pregnant patients or those with contraindications to radiation exposure [3]

The addition of B12 may reduce severity, though individual responses vary

The medication is administered weekly via subcutaneous injection, and patients are monitored by medical professionals throughout the course of treatment