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Seek urgent medical help if you experience: severe or persistent abdominal pain (especially if it does not improve or becomes intense) upper abdominal pain that spreads to the back ongoing or uncontrollable vomiting that prevents eating or drinking right-sided abdominal pain , particularly after meals, which may indicate gallbladder problems signs of acute kidney injury such as very low urine output, dark urine, or extreme fatigue allergic reactions including swelling of the face, lips, tongue, or throat, difficulty breathing, or a widespread rash Severe stomach pain Severe stomach pain requires urgent medical attention

The trade-off is that slower escalation means slower weight loss initially, but the improved tolerability often leads to better long-term adherence and outcomes

By February 2, 2025, her weight decreased to 103 kg, with systolic BP improving to 120 mm Hg

By slowing gastric emptying and enhancing feelings of fullness, it helps reduce overall caloric intake

You still choose what you eat, whether you train, how you manage stress, and whether you prioritize sleep

By month three, I noticed my clothes fitting differently even before I stepped on the scale