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Dan Azagury, MD, section chief of Minimally Invasive and Bariatric Surgery and medical director for the Bariatric and Metabolic Interdisciplinary clinic at Stanford Medicine, told Healthline that while the data confirm the GI side effects, he is concerned about the narrative around gastroparesis

Spotting and worse cramps can also be hard to interpret

Rapid weight loss can stress joints, connective tissue, and muscle
He denied it firmly and had a ready explanation for every symptom I was silently cataloging

Never discontinue prescribed medication without consulting your healthcare provider

When to Pause Treatment and How Genetics Guide Your Dosing Stop taking your GLP-1 medication and contact your provider immediately if you experience severe vomiting that prevents you from keeping down food or fluids, signs of pancreatitis (severe upper abdominal pain radiating to the back), or persistent constipation lasting more than 3 days despite fiber and hydration
