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While most are mild and improve over time, it's important to be aware: Common Side Effects Nausea Diarrhea Vomiting Constipation Stomach pain Reduced appetite Headache Serious Side Effects (Less Common) Pancreatitis Gallbladder issues Kidney issues due to dehydration A rare but serious risk is related to thyroid C-cell tumors, more prominent in animal studies

That means understanding how your GH axis markers interact with your insulin sensitivity, your thyroid function, your sex hormone status, and your cardiovascular risk profile and arriving at a recommendation that accounts for all of it

Final thoughts Both medications represent advances in how diabetes and obesity are treated