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It works on appetite and blood sugar: it reduces hunger, slows gastric emptying, and lowers how much you eat in a controlled study it cut energy intake by roughly a third 2 which is why it drives substantial weight loss (about 15% of body weight over 68 weeks in the pivotal STEP 1 trial) 1

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Side Effects: Diarrhoea, nausea, vomiting, and abdominal pain fall among the common side effects