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It might not always mean increasing the dose

Serious but Rare Side Effects Serious side effects are uncommon but can include inflammation of the pancreas, severe digestive issues, gallbladder problems, kidney injury from dehydration, low blood sugar (hypoglycemia), serious allergic reactions, and vision changes in patients with type 2 diabetes

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10.3389/fendo.2022.1033479 [DOI] [PMC free article] [PubMed] [Google Scholar] Durak A., Turan B

Keep pinching up skin, and check with your doctor if youre unsure
