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These imbalances are commonand getting worse

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6% of patients from the matched cohort

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The most frequently reported effects include: Nausea (most common, especially when starting or increasing dose) Diarrhoea or constipation Loss of appetite Dyspepsia (upset stomach) Abdominal pain Rarely, low blood sugar (hypoglycaemia), especially if used with sulphonylureas or insulin Severe risks are rare, but alert your pharmacy or doctor if you develop: Severe abdominal pain (potential sign of pancreatitis) Persistent vomiting, dehydration Unusual tiredness or vision changes Allergic reactions (rash, swelling, difficulty breathing seek emergency help) You are encouraged to report any side effects to the pharmacy and to SAHPRAs ADR programme