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Common side effects (usually temporary): Nausea (most frequent, especially after injections) Constipation or loose stools Fatigue and low energy in the first few weeks Reduced appetite (this is also the intended effect) Injection site reactions Less common but serious: Pancreatitis (seek care immediately if you have severe abdominal pain) Gallbladder problems Changes in heart rate Rare thyroid concerns (see contraindications above) Staying well hydrated is important throughout treatment

Serine is an essential metabolite for effector T cell expansion

7 The Genetics of Homocycsteine Metabolism Genetic variation (polymorphism) fundamentally impacts the activities of enzymes involved in homocysteine metabolism

Its also a great time to adjust dosages or meal plans if needed