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Persistent dizziness or fainting

Regardless of mechanism, clinical observations support a nausea-reducing effect in a subset of users

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It involves gradual harm to the blood vessels in the retina, which can be seen through signs such as microaneurysms, bleeding, and new blood vessel growth

Contraindications include personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia type 2, or severe renal/hepatic impairment