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Potential side effects include: Nausea or mild stomach upset Fatigue Headache Gas or changes in bowel movements Low blood sugar (rare) If side effects are prolonged or difficult to tolerate, providers may recommend alternatives such as tirzepatide, which can have a different side effect profile.

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It is imperative to try to establish the nature of any predisposing factor including the pathogenesis of the pain if one is to be successful in its management

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