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You should check your blood sugar before you start taking Saxenda and while you take Saxenda increased heart rate

Glucagon-like peptide-1 receptor agonists across the spectrum of heart failure

Adelhorst K, Hedegaard BB, Knudsen LB, Kirk O
Reflux causes esophageal irritation that triggers more nausea

So you had to balance the two
continues to decline from a record high in 2022