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Nausea, diarrhea, vomiting, and constipation commonly occur within the first month of starting.[ref][ref] Note that for many people, gastrointestinal side effects seem to be dose-related

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Symptoms of BED may include: eating excessive amounts of food in a short time eating when youre not hungry binge eating in secret feeling unable to stop eating during a binge feeling guilty or ashamed about your eating People with BED dont try to reverse episodes of overeating by vomiting, using laxatives, fasting, or exercising