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It influences appetite-regulating hormones and neural pathways, reducing caloric intake

The most common acute effect is severe nausea followed by persistent vomiting, which can lead to rapid dehydration and electrolyte loss

2 Because these factors differ from person to person, the duration of active weight loss can vary even when people follow similar routines

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A frank discussion about dietary patterns, portion sizes, beverage choices (particularly sugar-sweetened or alcoholic drinks), and physical activity levels can identify modifiable factors that may be limiting treatment response