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These findings are consistent with reports on other GLP-1 receptor agonists, including semaglutide and liraglutide, which also demonstrate a high prevalence of nausea and vomiting as common treatment-related side effects ( The presence of heterogeneity in the meta-analysis of body weight change suggests variability among studies, likely due to differences in population characteristics, trial duration, and treatment regimens

I have a couple theories as to why this is happening

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Gastroenterology 155 , 799814.e713 (2018)

Many people recognize it by brand names like Ozempic, Wegovy, or Rybelsus

A patient with bleeding and sharp pain may need a different plan than someone with painless bleeding and prolapse