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Providers should monitor weight trajectory , GI tolerability (nausea, vomiting, constipation) , signs of pancreatitis (persistent severe abdominal pain vomiting), gallbladder disease (RUQ pain, fever, jaundice), hydration/renal function when clinically indicated (risk of AKI with severe GI effects), blood pressure , and glucose metrics (especially if combined with insulin or sulfonylureas due to hypoglycemia risk)

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doi:10.1111/jcpt.12147 Hillsley A, Chin V, Li A, McLachlan CS

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To get the maximum return on your investment, these peptides should be taken on an empty stomachat least 2 hours after your last meal, or first thing in the morning when fully fasted

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