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The more accurate concern is that rapid weight loss, reduced lean mass, and decreased mechanical loading may create bone health concerns in some populations, particularly when resistance training is absent

Kuwasawa-Iwasaki M, Io H, Muto M, Ichikawa S, Wakabayashi K, Kanda R, et al

Common Side Effects Nausea or upset stomach Diarrhea or constipation Heartburn or indigestion Fatigue Most patients find that these side effects are strongest during the first few days after an injection or when they increase their dose