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The medication itself—a viscous compound—requires a slightly larger gauge needle than some other injectables, which can increase sensation during insertion

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Common Side Effects Include: Nausea Vomiting Diarrhea Constipation Loss of appetite Fatigue For dialysis patients, these symptoms can increase the risk of: Dehydration Malnutrition Muscle loss Electrolyte imbalance Low blood pressure during treatment Because dialysis already places stress on fluid balance, vomiting or poor oral intake can become serious quickly