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The most frequently reported digestive complaints include nausea (affecting approximately 15-44% of patients depending on dose and indication), vomiting, diarrhea, abdominal pain, and constipation

The only thing I would complain about is the inconsistency between each pharmacy

Some people report slightly reduced appetite suppression on day 7 or 8, but this is generally minimal, especially at higher doses where you can reference the standard unit conversions to confirm your levels

Alcohol irritates the GI lining, increases stomach acid production, and can independently slow gastric emptying