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The same 40-unit mark can be a five-fold difference in dose depending on your vial

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Some of these include severe gastrointestinal issues (nausea, vomiting, diarrhea), pancreatitis, rapid weight loss, severe abdominal pain, and symptoms of thyroid cancer (such as a lump or swelling in the neck, trouble swallowing, or voice changes)

The reason for gradually increasing dosages, per Alan, is to lower the risk of side effects