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If diarrhea lasts longer than six weeks at a stable dose, contact your prescriber it may indicate the need for dose reduction or evaluation of other underlying GI conditions

Some individuals may experience: Mild injection site irritation or warmth Temporary flushing or tingling Nausea or lightheadedness Rare headache or fatigue Most side effects are mild and transient

Nutritional status in dialysis patients: a European consensus

What happens is these hormones are stimulating your their metabolic stimulators, if you will