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Laxatives may be helpful for some people, but they should be used with care

Dose escalation could be delayed or the dose reduced if adverse effects occurred, or if participants reached a BMI in the lower normal range and presented related health concerns

Common side effects may include: Nausea Vomiting Diarrhea Constipation Abdominal pain Headache Fatigue Dyspepsia (indigestion) Dizziness Bloating Belching Flatulence Gastroesophageal reflux disease (GERD) Strategies for Management Managing these common side effects is often possible with a few simple strategies and close communication with your healthcare provider: Start Low, Go Slow: This is why titration is so important

Take with food to maximize absorption and minimize fishy aftertaste