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Dina Peralta-Reich, MD, FAAP, FOMA, and Director of New York Weight Wellness Medicine said that the gastrointestinal side effects of these medications, like nausea and vomiting, may be worse in older people, which may set them up for dehydration, weakness, or nutritional deficiencies. Monitoring water intake can be challenging, and it is crucial to avoid dehydration, which may result in dizziness, falls, fainting, and possibly fractures, she said

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Pre-existing diabetes with autonomic neuropathy is another major risk factor, as diabetic neuropathy already compromises gastric nerve function

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