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The most commonly reported effects during the initiation phase include: Injection site reactions: Mild redness, itching, or a small bump at the site that resolves within hours

Patients should also seek immediate medical care if they experience severe, persistent abdominal pain (possibly radiating to the back) with or without vomiting, which could indicate pancreatitis

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Signs to look out for include fatigue and lethargy, depression, irritability, headaches, difficulty with balance, decreased cognitive function, constipation, sore or swollen tongue, heart palpitations, mouth ulcers, pins and needles and changes to vision