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These include: Constipation Diarrhea Nausea Vomiting These symptoms are usually worse when starting the medication and when the dose increases

Regular blood sugar monitoring is crucial, especially if early warning signs are subtle or absent

(26) In a follow-up study, Werkman et al

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Eligible participants were required to have no history with drug use, psychiatric or neurological illnesses, heart conditions, high blood pressure, pregnancy and glaucoma

Strategies that may reduce side effects include: Eating smaller meals Avoiding high-fat or heavy foods Maintaining hydration Following the prescribed titration schedule Serious but Rare Risks Serious side effects are uncommon but may include: Pancreatitis Gallbladder disease Severe dehydration Kidney complications (often related to dehydration) There is also a boxed warning regarding thyroid C-cell tumors observed in animal studies