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Most common: Acne / oily skin Libido changes Mood fluctuations (including irritability) Fluid retention Injection site pain, swelling, or bruising Elevated blood pressure Elevated hematocrit, hemoglobin, and PSA (lab monitoring required) Testicular shrinkage / atrophy Gynecomastia Night sweats Serious side effects may include: Polycythemia / elevated hematocrit (monitor CBC) Suppression of spermatogenesis / infertility while on treatment Elevated PSA Sleep apnea exacerbation DVT or PE (rare

Talking openly with your healthcare team is key to good care after gastric bypass

States have broad discretion in designing their Medicaid formularies