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Sometimes this is because doctors dont know from the manufacturer to tell their patients to drink more in the first place, which is part of the drug manufacturers failure to warn

It promotes insulin secretion, slows gastric emptying, and suppresses appetite to reduce food intake, thereby exerting biological effects such as glycemic control, weight loss, and metabolic improvement

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doi: 10.1016/S0140-6736(21)01443-4 [DOI] [PubMed] [Google Scholar] 193.Del Prato S, Kahn SE, Pavo I, et al

This risk is particularly important if you are also taking insulin or sulfonylureas alongside Ozempic, as these combinations increase hypoglycaemia risk and may require dose adjustments of those medications

Results Scoping Review The databases and resource searches yielded 1753 records