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Reported and observed concerns include: Gastrointestinal distress (nausea, vomiting, diarrhea, constipation) Reduced nutrient intake and absorption, increasing micronutrient deficiencies Lean muscle loss, especially when weight loss is rapid Fatigue and low energy, often overlooked but frequently reported Pancreatic and gallbladder stress in susceptible individuals These side effects are not simply inconveniences they reflect underlying cellular stress during rapid metabolic change

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