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Side Effects & When to Call Most side effects are GI-related and improve with time

Wadden T, Bailey TS, Billings LK, et al

Deacon CF (2018) Peptide degradation and the role of DPP-4 inhibitors in the treatment of type 2 diabetes

Gastrointestinal disorders, primarily nausea, were the most common treatment-emergent adverse events, which could be mitigated with slower dose escalation

Surgery may be a good option if you: Have a body mass index (BMI) of 35 or higher, or a BMI of 30 or higher with conditions like diabetes, high blood pressure, or sleep apnea Have not been able to achieve or maintain weight loss through diet, exercise or medication At Louisiana Center for Bariatrics, our surgeons use minimally invasive techniques to improve recovery times and long-term outcomes

Berberine, chromium picolinate (already in resM), and white mulberry leaf all affect glucose metabolism