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Side effects that may be technique-related If your bloating or nausea seems to vary significantly from week to week despite being on the same dose, inconsistent injection technique is a plausible explanation
Clinical complications related to liver failure and portal hypertension, such as hepatic encephalopathy, symptomatic ascites, repeated hospitalizations, medication burden, electrolyte imbalances (especially hyponatremia), low sodium diets, and general debility, exacerbate appetite loss (13)
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But the pattern matches what nutritionists see anecdotally: internal change first, visible change later