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Post-marketing surveillance is still ongoing What we do know from available research and patient reports: Musculoskeletal side effects (which include muscle cramps) were reported in clinical trials, though at lower rates than gastrointestinal effects Patient forums and post-marketing reports suggest cramping occurs in some patients, particularly during the early weeks of treatment The side effect may be dose-related, with potentially higher incidence at higher doses What patients tend to report about the cramping timeline: Experiences vary widely, but patients in online communities and support groups often describe a pattern where: Cramping tends to first appear within the first 1-2 weeks of starting treatment Many find cramps feel most noticeable around weeks 2-3 A gradual improvement is commonly reported around weeks 4-6 By weeks 8-12, many (though not all) patients report their cramping has significantly improved or resolved Keep in mind that your experience may differ considerably from these general observations
For example, the landmark STEP 1 trial showed that participants who followed this schedule, combined with lifestyle changes, lost an average of nearly 15% of their body weight over 68 weeks
Exclusion of hyperlipidemia from the analysis did not change the results (Table 2)
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