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Whilst sulphur burps were not specifically categorised as a distinct adverse event in these trials, they fall within the broader spectrum of gastrointestinal disturbances that patients may experience

Alternative GLP-1 receptor agonists may be considered, as different formulations can have varying effects on gastric emptying and individual tolerance: Dulaglutide (Trulicity) another once-weekly injection with a potentially different side-effect profile Liraglutide (Victoza) a daily injection that some patients tolerate differently Exenatide available in both twice-daily and once-weekly formulations Whilst all GLP-1 receptor agonists share similar mechanisms of action and potential for gastrointestinal effects, individual patient responses can differ, and a trial of an alternative agent may prove beneficial

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H., & OConnor, M