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The FDA-approved regimen begins with 2.5 mg once weekly, gradually increasing over several months to optimize effectiveness while minimizing gastrointestinal side effects

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Check with your doctor immediately if any of the following side effects occur: More common Stomach pain Less common Difficulty in breathing or swallowing fast heartbeat gaseous stomach pain heartburn recurrent fever skin itching, rash, or redness stomach fullness swelling of the face, throat, or tongue vomiting yellow eyes or skin Incidence not known Anxiety bloating blurred vision chest tightness chills cold sweats confusion constipation cool, pale skin cough darkened urine depression dizziness fast heartbeat fever indigestion large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs loss of appetite nausea nervousness pains in the stomach, side, or abdomen, possibly radiating to the back puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue Shakiness unusual tiredness or weakness Some side effects may occur that usually do not need medical attention

More consistent appetite control helps with portion sizes

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