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Side effects at six months By the six-month mark, most GI side effects have resolved or become manageable

Moon, T

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Sometimes, and there's nothing wrong with that being the answer

This sustained muscular contraction significantly narrows the esophageal lumen, physically restricting swallowing

The article says caffeine can trigger nausea on an empty stomach, and that early-phase GLP-1 therapy already carries nausea risk in 30 to 40 percent of users, so adding caffeine without food may compound the effect