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Patients should seek urgent medical attention for severe or persistent abdominal pain, repeated vomiting, or signs of dehydration, as these may indicate pancreatitis or gallbladder disease

What to Know About Warnings and Precautions The FDA issues a box warning for semaglutide due to the risk of thyroid C-cell tumors

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Diabetic retinopathy damages vision in persons with long-term type 1 or type 2 diabetes

In these situations, I recommend B12 shots as first-line therapy over oral forms