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What to expect during these four weeks: Mild appetite reduction, some people notice it immediately while others feel nothing Possible mild nausea in the 24 to 48 hours after injection, affecting roughly 20 to 30% of people at this dose Minimal to no weight loss, perhaps 1 to 3 pounds, mostly from reduced food intake Slight changes in food preferences, many people report decreased interest in sugary or fatty foods If you tolerate 0.25 mg with zero issues, resist the temptation to increase early