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The most frequently reported early effects include nausea, mild stomach discomfort, bloating, gas, and occasional diarrhea or constipation

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As exogenous lipid resources are reduced, cells may initiate lipid catabolism to support the increasing lipid demand

Additionally, anxiety and heightened body awareness during medical treatment may amplify the perception of normal cardiac activity, leading to increased reporting of palpitations that were previously unnoticed

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