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* Sweating * Headache * Dizziness **Very Rare Side Effects (may affect up to 1 in 10,000 people):** * Acne **Not Known (frequency cannot be estimated from the available data):** * Nerve damage (neuropathy) with prolonged use

These values establish the patient's hepatic functional reserve before initiating therapy

Common side effects: Gastrointestinal (nausea, diarrhea, vomiting, constipation) typically mildtomoderate and dosedependent

Psychological and behavioural risks : Combining multiple weight loss interventions may foster unhealthy relationships with food, promote disordered eating patterns, and create unrealistic expectations about sustainable weight management