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[DOI] [PMC free article] [PubMed] [Google Scholar] 30.Bergmann N.C., Davies M.J., Lingvay I., Knop F.K

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**Chronic Hypoglycemia**: Repeated incidents of low blood sugar can damage the nervous system and may lead to problems with heart rhythm and function, as well as cognitive issues

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This delayed gastric emptying is what creates the appetite suppression that leads to weight lossbut it also triggers nausea, bloating, constipation, and sometimes vomiting, especially during the first few weeks