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Be sure to mention any new neck lump or swelling, hoarseness, or difficulty swallowing as well

Sherman will often ask is whether the medication is still having its intended effect on hunger and appetite or if its producing the amount of weight loss expected, he says

Franco explains

Another factor involves metabolic differences between individuals

These subcutaneous injections can be administered with or without food, as stomach contents don't affect their absorption or efficacy

Common returning side effects include nausea (often the most prominent), changes in bowel habits (constipation or diarrhea), reduced appetite that might feel more dramatic than you remember, fatigue during the first few weeks, and occasional headaches