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The dual mechanism does not appear to reduce the gastroparesis risk

Pennsylvania is a reduced practice state, with NPs required to maintain a collaborative agreement with a physician

doi: 10.1210/en.2003-0007

Association between symptoms, quality of life, and gastric emptying in dyspeptic patients

[DOI] [PubMed] [Google Scholar] 692.Baumgartner I., Pacheco-Lopez G., Ruttimann E.B., Arnold M., Asarian L., Langhans W

Here are the possible downsides to consider: Common Side Effects: Nausea (most common in the first few weeks) Diarrhea or constipation Mild stomach pain or bloating Fatigue or dizziness Serious (but rare) Side Effects: Thyroid tumors (seen in animal studies, but risk in humans is unknown) Pancreatitis (inflammation of the pancreas) Gallbladder issues (such as gallstones) Its important to talk to your doctor before starting any medication, especially if you have a history of thyroid disease, pancreatitis, or kidney issues