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Nausea, occasional vomiting, diarrhea, or constipation are frequently reported side effects, typically peaking during the first few weeks and improving with continued use

Statements Data availability statement The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding author

Physical Activity Guidelines recommend muscle-strengthening activities at least two days weekly targeting all major muscle groups, with progressive overload (gradually increasing weight or resistance) as tolerated