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Compounding pharmacies, which mix or alter drug ingredients to create custom therapies, stepped in to fill that gap

Seek urgent medical attention (call 999 or go to A&E) if you experience : Severe, persistent abdominal pain, particularly if radiating to the back (possible pancreatitis) Severe allergic reaction (difficulty breathing, swelling of face or throat, rapid heartbeat) Contact your GP or diabetes specialist nurse promptly if you experience : Persistent vomiting that prevents adequate fluid intake Signs of dehydration (dark urine, dizziness, reduced urination) Right upper abdominal pain, fever or yellowing of the skin/eyes (possible gallbladder disease) Prolonged diarrhoea or vomiting that could lead to dehydration and kidney problems In cases of intolerable gastrointestinal side effects, healthcare professionals may consider temporarily reducing the dose or, if symptoms persist, discontinuing the medication and exploring alternative therapeutic options in line with NICE guidelines for type 2 diabetes management

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Trial figures are averages from separate studies and should not be treated as guarantees of individual outcomes

Many medications are contraindicated in pregnancy out of abundant caution rather than confirmed harm

Fava, G