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Common Side Effects The most frequently reported side effects include: Nausea The most common side effect, often occurring during dose increases Diarrhea Gastrointestinal upset is common but often temporary Vomiting May occur, particularly with higher doses Abdominal pain Discomfort in the stomach area Constipation Some patients experience reduced bowel movements These side effects are typically mild to moderate and tend to improve over time as the body adjusts to the medication

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