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The medication is initiated at a low dose and gradually increased specifically to minimise gastrointestinal side effects such as nausea, vomiting, diarrhoea, and decreased appetite

In some individuals, this physiological change may increase the likelihood of gastro-oesophageal reflux symptoms, where stomach acid travels back up into the oesophagus

Its rapid popularity, fueled by social media and celebrity use, made it one of the fastest-growing prescriptions in Texas

This 20 mg vial suits laboratories requiring a larger working quantity

Off-label prescribing adds another layer of complexity

Under medical supervision and as part of a broader weight-management program, it may be considered by providers for appropriate patients