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Think of it as less goes in, less comes out. Fewer bowel movements can be normal ( even as few as three per week ), but experiencing hard stool, difficulty passing stool, bloating, abdominal pain, or incomplete evacuation would be considered constipation

CrossRef Obesity Management in Primary Care: Clinical Approaches and Policy Implications in the Era of Incretin-Based Therapies Chung-woo Lee Korean Journal of Family Practice.2026

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If side effects become limiting, the dose can be reduced or adjustments can be made to meal timing, hydration, or accompanying medications