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But an excess dose or extra ingredients may mean that you end up with side effects and symptoms beyond those already associated with GLP-1s, including nausea, vomiting, constipation, diarrhea and headaches are all common

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So the acid-base reaction in the quiz above favors water (pK a 14) by about 10 orders of magnitude (10 10 ) over acetic acid (pK a 4)

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Physicians may prescribe it off-label, but alternative options (Contrave, GLP-1s, Qsymia) are purpose-built