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Side Effects Common side effects Nausea Vomiting Diarrhea Stomach pain Loss of appetite Serious but less common side effects Risk of pancreatitis Gallbladder issues (gallstones, inflammation) Kidney problems (from dehydration due to vomiting/diarrhea) Potential increased risk of thyroid C-cell tumors (based on animal studies) Patients should report severe or unusual symptoms to their healthcare provider immediately

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That matters because unstable glucose patterns often drive cravings, fatigue, and overeating

Some patients benefit from dose adjustment of one medication while holding the other steady, allowing clinicians to isolate which agent is causing any adverse effects