The incidence appears to be relatively uncommon compared to other gastrointestinal effects like nausea
In this study, Chintan Dave, PhD, a researcher at Rutgers University, and colleagues included claims data from 161,489 adults aged 18 to 65 years with type 2 diabetes who were newly prescribed a GLP-1 receptor agonist, 122,114 who started a SGLT2 inhibitor, and 86,047 who started a DPP4 inhibitor
They achieve this by blocking sodium-potassium pumps in the choroid plexus, slowing the rate at which CSF is produced
It is crucial to have a medical Sick Day Protocol (often an emergency letter) from your doctor that directs you to go to the nearest emergency room for intravenous (IV) L-carnitine and glucose until you can safely resume oral medication [2] [6]
1997;156(2 Pt 1):341-357
L-Carnitine tartrate functions to transport long chain fatty acyl-CoAs into the mitochondria for degradation by -oxidation