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During the first 4 weeks, you may notice mild appetite changes and early side effects like nausea, bloating, diarrhea, constipation, and gastrointestinal problems

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Publisher Journal of Cachexia, Sarcopenia and Muscle Accessed Jun 27, 2026 Study type Systematic Review Limitations: Lean mass is not identical to contractile muscle, and body-composition findings do not create a personal treatment plan