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If you have an adverse reaction, there is no emergency equipment available Spa or hotel room setup with no medical backup, IV infusion requires a medical environment

Pharmacodynamic characteristics of lixisenatide once daily versus liraglutide once daily in patients with type 2 diabetes insufficiently controlled on metformin

Liu Y, Wang S, Pan S,Yan Q,Li Y,Zhao Y

What it looks like : Puffy face, fingers, or ankles Slight increase in body weight (often 37 lbs early in cycle) Sometimes accompanied by joint tightness or stiffness How to manage : Monitor sodium and potassium intake Add potassium-rich foods or supplements if bloated Drink 34 liters of water per day Use Krill Oil to reduce inflammation Reduce carbs slightly if retention persists beyond week 3 Short-term fluid retention is a known effect of GH elevation and typically normalizes within weeks as extracellular fluid volume stabilizes. Jaffe et al., Endocrinology and Metabolism Clinics 3