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Who Should Consider Alternative Formulations or Dosing Strategies Patients with a history of severe nausea, vomiting disorders (like cyclic vomiting syndrome), concurrent gastrointestinal conditions (GERD, gastroparesis), or those taking medications that increase nausea risk may benefit from slower escalation protocols or alternative GLP-1 agents

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Potential Skin Cancer Concerns One of the biggest concerns involves mole and pigmentation changes

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