Common Side Effects Nausea Vomiting Diarrhoea Constipation Bloating Headaches Abdominal pain Less Common but Serious Risks Gallbladder problems Pancreatitis Kidney issues Increased heart rate Side effects tend to improve over time and are much less likely when doses are increased gradually
The Skinny Shot is part of a documentary-style series called Impact x Nightline. The documentary, marking episode 17 in the show, is now available on Hulu for streaming

Specific red flags that warrant immediate medical attention include: Inability to keep down liquids for more than 24 hours Signs of dehydration (decreased urination, dark urine, dizziness, dry mouth, rapid heartbeat) Reduced urine output suggesting possible acute kidney injury Severe abdominal pain, particularly if localized or worsening Right upper quadrant or shoulder pain, jaundice, pale stools, or dark urine (signs of gallbladder disease) Severe bloating, inability to pass gas or stool (signs of possible bowel obstruction) Vomiting blood or material that looks like coffee grounds Fever above 100.4F (38C) Persistent vomiting that prevents taking other essential medications Unexplained weight loss beyond what is expected from the treatment Symptoms of pancreatitis (severe upper abdominal pain radiating to the back, often with nausea) Patients with diabetes using these medications require particular vigilance, as vomiting can affect blood sugar control and increase the risk of hypoglycemia, especially if taking insulin or sulfonylureas concurrently

What sets a safe treatment experience apart from a risky one is the level of medical supervision you receive throughout the process