While not officially listed as a common side effect, this "emotional blunting" is part of how the drugs can lead to reduced food noise, as well as reduced alcohol or other drug urges, but at the same time may also result in diminished enjoyment in hobbies, competitive drive, even for some people loss of interest in exercising, as well as people describing a "loss of empathy" - though I also see it said that it is a temporary experience for some people
Others, including those sensitive to medication side effects or with previous adverse reactions to weight-loss drugs, often prefer starting minimal and titrating slowly under professional guidance
Reports of serious side effects: rhabdomyolysis, priapism, renal issues, possible melanoma risk from mole darkening, and systemic toxicity
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