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Other reported or anticipated side effects based on Phase 2 data and the known pharmacology of the drug class include: Injection site reactions — redness, bruising, or mild discomfort at the site of subcutaneous injection Fatigue — commonly associated with caloric restriction and rapid weight loss Headache — reported with GLP-1 receptor agonists as a class Increased heart rate (tachycardia) — a known class effect of GLP-1 receptor agonists

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Sometimes the most ethical action is to step back and allow the client to lead