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Losing too much weight too fast may increase the risk of fatigue, dehydration, muscle loss, nutritional deficiencies, or digestive discomfort

[Abstract] J Stroke Cerebrovasc Dis

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This is the unglamorous one, and it resolves a lot of stalls before anything else needs looking at

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Patients should also report any side effects they experience , particularly severe, persistent abdominal pain (with or without vomiting) which could suggest pancreatitis or gallbladder disease and requires urgent medical review