Pancreatitis (inflammation of the pancreas): Symptoms may include severe upper abdominal pain that doesnt go away, vomiting, and nausea Gallbladder disease (gallstones or gallbladder inflammation): Symptoms may include sudden and intense abdominal pain, nausea, vomiting, fever and chills Kidney problems: Changes in urination (either going more or less frequently), along with swelling in feet and ankles Hypersensitivity or allergic reactions (including anaphylaxis ): Shortness of breath, itching and swelling near the injection site, dizziness Diabetic retinopathy: People with type 2 diabetes and a history of diabetic retinopathy (a complication that affects the blood vessels in the eye) may experience worsening symptoms, including blurred vision, spots, and floaters : Symptoms include fast heartbeat, shakiness, dizziness, and confusion

Weeks 12: Getting Started During the first couple of weeks, most patients notice: Reduced appetite Fewer cravings Better portion control Actual weight loss may be small at this stage, but internal changes are happening
Longer treatment courses and maintenance dosing are generally appropriate for PCOS patients
doi: 10.1136/gutjnl-2020-322368 75 LiuI