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Adverse effects Possible side effects include nausea, diarrhea, vomiting, constipation, abdominal pain, headache, fatigue, indigestion/heartburn, dizziness, bloating (abdominal distension), belching, low blood sugar (hypoglycemia) in patients with type 2 diabetes, gas (flatulence), gastroenteritis, and gastroesophageal reflux disease
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Many health plans exclude weight loss medications entirely, classify them as non-essential, or impose restrictive prior authorization criteria that few patients satisfy
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