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Seek immediate emergency care (call 911 or go to the emergency department) if you experience: Severe hypoglycemia symptoms : Confusion, difficulty speaking, loss of consciousness, seizures, or inability to self-treat low blood glucose Persistent vomiting : Inability to keep down fluids for more than 6-8 hours, leading to dehydration risk Signs of severe dehydration : Minimal urination, extreme thirst, rapid heartbeat, severe dizziness, or fainting Chest pain or severe palpitations : Particularly if accompanied by shortness of breath or radiating pain Signs of pancreatitis : Severe, persistent abdominal pain (often radiating to the back), with or without vomiting

Similarly, a post hoc analysis of the HARMONY trial also demonstrated that albiglutide was associated with an elevated risk of AF and tachyarrhythmias (130)

You can confirm your states Medicaid formulary to see whether it provides coverage for semaglutide

Finger pebbles in a diabetic patient: Huntley's papules