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Fatigue or dizziness in the first weeks usually fade faster, often within 13 weeks as you adjust to increased satiety and smaller food intake

The emetic phase is characterized by a projectile, intense vomit, averaging 6 times/hour at the peak (first hour), often leading to significant dehydration (68)

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Those who completed the full 48 weeks averaged significantly better outcomes than those who discontinued early, reinforcing the importance of persistence through the challenging adaptation period