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We often see weight loss before that, but I tell people not to worry until about four to six months, when were approaching the most effective dose. If youre having a lot of side effects from the medication, which can include nausea and vomiting, diarrhea, constipation or abdominal pain, youll move at a much slower pace

PMID 29260458

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Dont worry - there are ways to eat that work with the medication, not against it