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Other frequently reported issues include: Burping and indigestion (dyspepsia) , which may be uncomfortable and persistent Fatigue , or a general feeling of low energy Heartburn or acid reflux (GERD) Injection site reactions , like redness, itching, or swelling Hair thinning or hair loss , which some patients find surprising Hypersensitivity reactions , which are rare but can include rash, itching, or more serious allergic responses Though these side effects are common, they dont affect everyone, and many people find them manageable compared to the benefits

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Matthews JE, Stewart MW, De Boever EH, et al