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The stomach needs 7-10 days to adapt to each new dose level, making the transitions temporarily uncomfortable

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If that's the case then the ad is wrong on multiple levels, including that the drug is NOT for people just wanting to shed a few pounds

Weeks 2-4: By week 2 to 4, the appetite-suppressing effects become more noticeable for many users

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There is probably a delayed effect here: weight can change very quickly, but its effects on overall health, and more specifically on diabetes, persist