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But you can do that with all kinds of drugs

Other proposed mechanisms include potential effects on cardiac ion channels and alterations in baroreceptor sensitivity , though these remain speculative in humans

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63 Rare cases of panniculitis associated with exenatide injections have also been reported

While no single direct mechanism has been definitively established, fatigue likely results from multiple factors including substantial caloric restriction, gastrointestinal side effects, dehydration, and metabolic adaptation during weight loss

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