In addition to routine side effects, more serious complications have been reported, including gastroparesis (stomach paralysis), intestinal obstruction, severe dehydration due to persistent vomiting, pancreatitis, and gallbladder disease requiring surgical intervention. Some plaintiffs allege that the manufacturer did not adequately warn patients and healthcare providers about the potential risks of long-term stomach paralysis, severe gastrointestinal injury, prolonged hospitalization, and lasting digestive dysfunction.