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Call Your Provider Promptly For Severe abdominal pain (possible pancreatitis) Persistent vomiting that prevents fluid intake Right-upper-quadrant pain that radiates to the back or shoulder (possible gallbladder issue) Sudden vision changes (rare, but reported) Symptoms of severe dehydration: dizziness on standing, dark urine, dry mouth For a deeper dive on what to expect over time, our side effect timeline guide walks through duration and management for each common issue

This is a classic example of a treatment-related physiological shift, not a drug side effect

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Frequent tingling or a pins and needles feeling in your hands and feet

Local factors including blood flow and receptor density influence fat loss from specific areas