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The biphasic response suggests possible mechanisms: lower doses (nanogram range) might work through growth factor upregulation and signaling cascade amplification, while higher doses (microgram range) might involve direct receptor activation or substrate provision for cellular repair

Nausea typically peaks 24 hours post-injection and subsides within 2448 hours as your body adapts

Post-bariatric patients combining surgery with GLP-1 medication should monitor for nausea, vomiting, dumping syndrome symptoms (rapid heart rate, dizziness after eating), and signs of gastric outlet obstruction

Gasche Soccal, Genve (Pneumologie)

These assessments can identify any emerging concerns before they become problematic