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(PubMed) Gail MH, Pfeiffer RM, Brown LM, et al

Patients taking anticoagulants or antiplatelet medications may experience increased bruising frequency but should continue their prescribed therapy unless otherwise directed by their healthcare provider

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It explains both its ~14.9% peak weight loss in STEP 1 and its dose-limiting nausea profile, gastric-emptying delay is the same pathway that drives upper-GI side effects

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