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After talking to hundreds of patients with obesity over the years and to clinicians and researchers who study the disease, let me assure you: Reality looks a lot less like free will. Weight gain and weight loss are a complex orchestra of hormones that tell the body when were hungry and when were full

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While most people tolerate well, some may experience mild side effects, including: Nausea or vomiting Constipation or diarrhea Dizziness or fatigue Bloating or stomach discomfort Starting with a low dose and gradually increasing it can help minimize these effects

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