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The most common reported side effects are gastrointestinal nausea, vomiting, diarrhoea, and constipation consistent with GLP-1 receptor agonist class effects

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Untreated B12 deficiency may even lead to death

Proper storage means keeping the vial in a dark or shaded area whenever possible

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Because the medication is dosed weekly and clears slowly, the stomach can stay slower than normal for some days after a dose