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Penrice et al, 1996)

Gastrointestinal effects and referred pain: The pronounced gastrointestinal side effects of GLP-1 therapyparticularly nausea, constipation, and abdominal distensioncan occasionally manifest as referred pain to the back

Pain may also be referred from the spine or result from improper healing or trauma following the surgery

Temporal patterns are the strongest diagnostic clue, and structured logs that pair exact injection times with symptom onset over the first eight weeks make it far easier for clinicians to decide on targeted tests such as electrolytes, creatine kinase, or thyroid panels

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