Starting saxenda and vacation- urgent advice needed

Will you be at a place where you will have at least a nurse to get to? Saxenda has many side effects. The caribbean is a big place. And I know Puerto Rico has a doctors shortage.
side effects include nausea, vomiting, diahrea.

Personally, I would take it afterwards. You will be walking through airports. Being in long airline rides. Riding in bumpy roads in taxis. If a cruise, I would have said, ok, since you would be on a boat with access to bathrooms.
I can't imagine being in a puddle jumper plane and having to go "potty".

Call your doctor right away if you notice any of these side effects:

Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

Change in how much or how often you urinate, or painful or burning urination

Fast or racing heartbeat

Feeling sad or depressed, thoughts of suicide, unusual changes in mood or behavior

Shaking, trembling, sweating, fast or pounding heartbeat, fainting, hunger, confusion

Sudden and severe stomach pain, nausea, vomiting, fever, and lightheadedness

Trouble breathing or swallowing, a lump in your neck, hoarseness when speaking

Yellow skin or eyes

If you notice these less serious side effects, talk with your doctor:

Decreased appetite

Dizziness or headache

Nausea, diarrhea, constipation, or upset stomach

https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0010964/?report=details#side_effects

I wouldn't want to have any of these side effects especially on vacation.

Saxenda is Victoza in a markedly different dosage. It's in the same family of GLP-1 agonists as Byetta, Bydureon, Trulicity.... I'm assuming that you know this already, but perhaps not. No intent to patronise. I've taken most of the drugs in the family, so I'm somewhat familiar!

My experience with Byetta (which is, I think, a better comparison than Victoza because of the increased dose and the once-daily rather than once-weekly aspect) is that when it worked, it worked very well. It kept my blood sugars very tight, suppressed my appetite, and I dropped a bunch of weight (60 pounds or so) quite quickly. All that said... There was vomit. A lot of vomit. When I ate too much. When I ate too little. When I ate the wrong thing. When I ate at the wrong time. Just because. I have always wondered how much of my weight loss was due to the fact that I couldn't keep food in my stomach long enough to digest anything.

I didn't have that problem with Victoza, but I also didn't have the weight loss side effect. I also don't have nausea with Trulicity, nor with Bydureon - but your mileage may vary.

You're a nurse? Would you advise a patient to do what you're proposing?