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People who have had surgery to remove the stomach or the end of the small intestine may also not be able to absorb vitamin B12
Potential side effects depend on the specific peptides used and are reviewed with you at consultation
10.1038/s41467-019-08982-9 106 RolaR.ZouY.HuangT.-T.FishmanK.BaureJ.RosiS.et al (2007)
Mann says
Common adverse effects of GLP-1 receptor agonists include: Gastrointestinal symptoms (nausea, vomiting, diarrhoea, constipation) Injection site reactions Headache Fatigue Dizziness Important safety considerations include: Risk of hypoglycaemia when used with insulin or sulfonylureas (dose reduction of these agents may be needed) Potential worsening of diabetic retinopathy with semaglutide in patients with pre-existing retinopathy [18] Risk of dehydration and acute kidney injury from persistent vomiting or diarrhoea Pancreatitis, gallbladder disease, and potential thyroid C-cell tumours (observed in rodent studies, though human relevance remains uncertain) [19] [20] Patients should be counselled about persistent severe abdominal pain as a potential warning sign of pancreatitis requiring immediate medical attention
Ketogenic diet reduces alcohol withdrawal symptoms in humans and alcohol intake in rodents
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