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Side Effects and What to Expect Most common side effects I see: Nausea Constipation Fullness Temporary fatigue These are usually manageable with: Slower dose increases Protein-first meals Adequate hydration Ongoing medical monitoring Why Medical Supervision Matters Using semaglutide without medical oversight increases the risk of: Improper dosing Nutritional deficiencies Poor side effect management Suboptimal long-term outcomes At Florida Surgery & Weight Loss Center , we monitor: Weight trends Metabolic labs Medication tolerance Nutritional intake Long-term response This approach improves both safety and results