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The most frequently reported issues: Nausea Vomiting Constipation Diarrhea Acid reflux Reduced sensation of thirst, which can worsen constipation if patients arent actively drinking enough water Janey Pratt, MD, a clinical professor of surgery at Stanford Medicine who performs bariatric surgery on adolescents at Lucile Packard Childrens Hospital Stanford, said nearly all her young patients have some degree of side effects