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Thats normal

If you are still experiencing nausea, diarrhea, or significant appetite changes from your most recent dose increase, do not compound those effects with another increase
The average BMI of trial participants starting was 38 and was reduced to an average of 30, with many subjects getting into the normal range

Though these medications are not intended as aesthetic treatments , their noticeable effects on body composition have made them a topic of discussion in the medical aesthetics community