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Patients with genetic variants associated with increased appetite signaling or altered nutrient metabolism may be more prone to rapid weight loss and secondary telogen effluvium

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The relationship is indirect rather than a direct pharmacological effect of the medication itself

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Potential related morbidity O

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To minimise nausea and digestive upset: Follow the recommended Saxenda dose escalation schedule carefullydo not increase doses too quickly Take fluoxetine with food if nausea occurs (unless otherwise directed) Eat smaller, more frequent meals rather than large portions Stay well hydrated, particularly if experiencing vomiting or diarrhoea Contact your GP if gastrointestinal symptoms become severe or persistent Mental health monitoring remains important

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