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Timing is also a useful clue

J Clin Endocrinol Metab (2003) 88:580813

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10.1017/S0954422418000124 24 BergerM

Higher-risk patients include those in the dose-escalation phase, those with nausea, vomiting, bloating, abdominal pain, early satiety, or reflux symptoms, those on higher doses with GI side effects, and those with known gastroparesis or other conditions that slow gastric emptying