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It works at the cellular level within the fat tissue itself

Serious but rare adverse effects include pancreatitis, gallbladder disease, acute kidney injury (usually secondary to dehydration from gastrointestinal symptoms), and hypoglycemia when combined with insulin or sulfonylureas

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With this being an autoimmune disorder, patients will require lifelong treatment

For neurological involvement, hydroxocobalamin 1mg should be given on alternate days until no further improvement, before moving to maintenance