If fatigue persists, healthcare providers should consider evaluating for other common causes such as anemia, thyroid disorders, or sleep apnea
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Specific cardiac considerations include: Heart rhythm concerns: The heart rate-increasing effect may require additional monitoring in patients with atrial fibrillation, supraventricular tachycardia, or ventricular arrhythmias Heart failure: Patients with New York Heart Association (NYHA) Class III-IV heart failure were excluded from major clinical trials, and there is limited safety data in this population [18] [21] Recent cardiac events: Patients with recent myocardial infarction, stroke, or unstable angina may require individualized assessment during the recovery period Hemodynamic considerations: Rapid weight loss may affect fluid balance in patients with significant cardiac disease Adverse effects relevant to cardiac patients include gastrointestinal symptoms (nausea, vomiting, diarrhea) that may lead to dehydration and electrolyte disturbances
To view a copy of this licence, visit About this article Cite this article Barrea, L., Annunziata, G., Verde, L
Researchers have proposed that the presence of GLP-1-like peptides in its venomous saliva may serve various functions, though the precise evolutionary purpose remains under investigation and requires further scientific validation
