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Many patients and their healthcare providers would prefer to avoid injections if possible due to the challenges associated with giving/receiving an injection, the complex storage conditions requiring freezing/refrigeration, and the short expiration dating per USP guidelines

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To reduce nausea, follow gradual dose titration schedules, eat smaller frequent meals, avoid high-fat and greasy foods, stay well hydrated, and remain upright for 2-3 hours after eating

Other, less common but possible side effects, include acid reflux or heartburn, dizziness, headache and mild hair thinning (due to rapid weight loss in some cases)