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Rare: Hypersensitivity reactions (rash, pruritus, dyspnea), acute kidney injury, acute pancreatitis, gallbladder disease, hypoglycemia, ECG changes, and tachycardia

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While side effects typically peak during the first 48 weeks, most patients adapt over time, with appetite regulation persisting as initial discomfort resolves

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Notably, weight reduction had not plateaued by 52 weeks, indicating potential for further loss with longer use

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