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however, compounded medications are not FDA-approved and do not undergo safety, effectiveness, or manufacturing review

Sublingual drops claim higher absorption than gastric tablets because the sublingual mucosa is thin, highly vascularized, and does not expose the peptide to stomach acid

Treatment stage What may be common What deserves attention Week 1 Nausea, fullness, reduced appetite, bloating, indigestion, diarrhea, constipation, fatigue Repeated vomiting, severe pain, inability to stay hydrated Weeks 2 to 4 Early symptoms may settle, persist, or fluctuate Symptoms interfering with eating, drinking, or daily function Weeks 5 to 8 Symptoms may reappear after clinician-directed dose escalation A significant return or worsening of gastrointestinal symptoms Months 2 to 3 Some patients tolerate treatment more comfortably

These actions lower blood glucose levels, which contributes to weight loss and improved blood sugar control