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The clients who walk into my gym with a training plan, a protein target, and a realistic rate-of-loss expectation leave six months later looking lean, strong, and functionally better than they did before the medication

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Seek urgent medical advice or attend A&E if you experience: Severe, persistent abdominal pain, particularly if radiating to the back (potential sign of pancreatitis) Persistent vomiting preventing fluid intake (risk of dehydration and acute kidney injury) Signs of allergic reaction: difficulty breathing, swelling of face or throat, severe rash Symptoms of gallbladder problems: yellowing of skin or eyes, fever with abdominal pain Severe palpitations or significant heart rhythm disturbances Contact your GP or specialist team if you experience persistent side effects that do not improve, unexplained weight loss that seems excessive, or if you have concerns about your medication

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