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and McKenna, M.C

This increases the risk of aspiration (inhalation of stomach contents into the lungs) during general anaesthesia when protective airway reflexes are suppressed

This is thought to be because the drug is directly suppressing lung inflammation, rather than just having the indirect effect of easier breathing due to weight loss (6)

Many menopausal women find that as weight loss progresses and hot flashes diminish, gastrointestinal adjustment resolves naturally within 6-8 weeks

Reported concerns may include headache, nausea, injection-site irritation, fatigue, or unpredictable responses depending on product quality and route of administration