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You needed to eat high-calorie foods to prevent losing too much weight, a rare but genuine concern

Strategies to minimize reactions include rotating injection sites consistently to avoid repeated trauma to the same area, ensuring the solution is at room temperature before injection (cold injections can increase irritation), injecting slowly rather than quickly, and using a smaller gauge needle for less tissue trauma

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Gallbladder Problems: Some patients may develop gallstones or other gallbladder-related issues

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Because we cross Palomani Pass (17,060 ft), the highest point of the trek