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I was in constant pain, on three blood pressure meds, and deeply unhappy

the compounded version Highland prescribes is not FDA-approved

Very common (may affect more than 1 in 10 people): Nausea Vomiting Diarrhoea Constipation Abdominal (stomach) pain Headache Tiredness (fatigue) Low blood sugar (hypoglycaemia) in people with type 2 diabetes Common (may affect up to 1 in 10 people): Low blood sugar in people without type 2 diabetes Dizziness Altered taste (dysgeusia) and altered skin sensation (dysaesthesia) Indigestion (dyspepsia), heartburn / acid reflux (GORD), gastritis, burping, wind (flatulence) and bloating Increased heart rate Gallstones (cholelithiasis) Kidney stones (urolithiasis) Hair loss Increased blood levels of amylase, lipase and bilirubin Diabetic retinopathy in people with type 2 diabetes Hip fracture Uncommon to rare: Acute pancreatitis (inflammation of the pancreas) Low blood pressure (hypotension) and orthostatic hypotension Allergic reactions, including anaphylactic reaction and angioedema (swelling) Delayed gastric emptying and, rarely, intestinal obstruction Non-arteritic anterior ischaemic optic neuropathy (NAION), a rare eye condition that can cause sudden loss of vision Serious side effects

Common Symptoms of Gastroparesis The most frequently reported symptoms include: Nausea , especially after eating Vomiting , often of undigested food Feeling full quickly after eating small amounts Abdominal bloating or swelling Upper abdominal pain or discomfort Loss of appetite Unintentional weight loss Additional Symptoms Gastroparesis can also affect nutrition and blood sugar control, leading to: Acid reflux or heartburn Fluctuating blood sugar levels , especially in people with diabetes Fatigue or weakness Malnutrition Dehydration from repeated vomiting Severe or Advanced Symptoms In more serious cases, gastroparesis may cause: Persistent vomiting that does not improve Bezoars (hardened masses of undigested food in the stomach) Stomach or intestinal blockages Electrolyte imbalances Emergency room visits or hospitalization When Symptoms Often Appear Many patients report that symptoms: Begin gradually Worsen after meals Become more noticeable over weeks or months Appear or intensify after starting certain medications, including GLP-1 receptor agonists Why These Symptoms Matter in GLP-1 Lawsuits Gastroparesis symptoms can be life-altering and, in severe cases, life-threatening

These may include pancreatitis, severe hypoglycemia, and kidney or gallbladder problems

Continuous wearable data can show trends but is easily confounded by movement, stress, and measurement artifact