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Mild nausea affects some people in the first few days

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I didn't feel bad having a cheat meal every week

The side effect profile is well-characterized: nausea, constipation , and gastrointestinal discomfort are the most common issues, typically resolving within the first 4-8 weeks

The medication does not impair athletic performance directly, but the side effects during the first 24 to 48 hours can absolutely interfere with intense training