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These can include: Digestive issues that could lead to dehydration and cause kidney damage Gastrointestinal issues like pancreatitis or gallbladder disease Low blood pressure Low blood sugar levels There is also a black box warning, the most serious kind from the FDA, on both medications for the risk of a certain rare type of thyroid cancer

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Medicines with a narrow therapeutic index may require additional monitoring, and warfarin may require more frequent INR monitoring when initiating GLP-1 therapy