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Common issues include gastrointestinal discomfort , such as nausea, diarrhea, or constipation

A loading period usually lasts 3 to 6 months before full effects are observed

If nausea limits fluid intake, try small, frequent sips or electrolyte-containing beverages as tolerated

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Immediate Side Effects Many users report symptoms shortly after use, including: Severe nausea and vomiting Facial flushing Dizziness and headaches Fatigue These effects are common and reflect how strongly the drug interacts with multiple systems in the body