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The most commonly reported adverse effects are gastrointestinal in nature and include: Nausea (particularly during dose escalation) Vomiting Diarrhoea Constipation Decreased appetite These effects are generally dose-dependent and tend to be most pronounced during the initial weeks of treatment when the dose is being gradually increased

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However, I'd like to give a loud shout out for talking to me about Micro needling

They tell your brain you are full, slow gastric emptying, and improve how your body handles insulin and blood sugar

Even when treated with standard NHS medications like levothyroxine, many patients find that while their energy improves, the weight remains difficult to shift

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