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Common Side Effects The most frequently reported cagrilintide side effects include: Dose-Dependent Adverse Events Phase 2 trials clearly demonstrated that higher doses increase gastrointestinal side effects: At 2.4 mg weekly: Manageable nausea in most participants Side effects typically decrease after 4-8 weeks Discontinuation rates remain acceptable At 4.5 mg weekly: Significantly increased nausea and vomiting Higher treatment discontinuation rates Limited additional weight loss benefit This dose-response relationship explains why 2.4 mg was selected as the optimal maintenance dose