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Side Effects

Common Side Effects

  • Nausea, Vomiting, Diarrhea, or Constipation

  • Stomach pain, Indigestion, or Bloating

  • Heartburn or Acid Reflux

  • Gas and Belching

  • Dizziness or Fatigue

  • Hair loss

  • Low blood pressure

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Important Safety Notes

  • Medication Interactions – May affect insulin, sulfonylureas, hormonal birth control, other weight loss medications, and warfarin.

  • Pregnancy & Breastfeeding – Not recommended during pregnancy or breastfeeding. Discuss birth control options with your provider.

  • Never Share Injection Pens – This can lead to serious infections.

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Serious Side Effects (Seek Medical Attention if You Experience These)

  • Thyroid Tumors – Report any neck lumps, swelling, hoarseness, trouble swallowing, or shortness of breath.

  • Severe Gastrointestinal Issues – May cause nausea, vomiting, diarrhea, constipation, or stomach pain. Not recommended for those with severe GI conditions.

  • Pancreatitis – Watch for severe stomach pain that may radiate to the back, with or without vomiting.

  • Gallbladder Disease – Symptoms include severe stomach pain, yellowing of skin/eyes, fever, or pale stools.

  • Kidney Problems – Dehydration from vomiting or diarrhea can lead to kidney injury. Stay hydrated.

  • Low Blood Sugar (Hypoglycemia) – More common if combined with diabetes medications. Symptoms include dizziness, sweating, shaking, fast heartbeat, or confusion.

  • Diabetic Retinopathy – Can worsen in those with a history of diabetic eye disease. Report vision changes.

  • Suicidal Thoughts or Mood Changes – Monitor for new or worsening depression, anxiety, or suicidal thoughts.

  • Severe Allergic Reactions – Stop use and seek help if you experience facial swelling, trouble breathing, rash, rapid heartbeat, or dizziness.

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Report side effects to the FDA MedWatch at 1-800-FDA-1088 or fda.gov/medwatch

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