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The same hormonal signaling that suppresses appetite and drives weight loss also accelerates colonic transit and increases water secretion in the lower bowel, especially during the first few weeks of treatment and after each dose increase

If you notice mood changes coinciding with low blood glucose, discuss this with your GP or diabetes specialist nurse

Swallow: After retaining the liquid, ingest any remaining fluid

However, there are practical differences worth understanding before you decide

Long-term use has been associated with reduced vitamin B12 levels, so your provider may monitor for this or suggest a B12 supplement, especially if you have anemia or peripheral neuropathy