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monitor glucose carefully) Possible increase in heart rate Gallbladder issues (contact pharmacy if sudden pain or fever) Risk of thyroid C-cell tumours (avoid if personal/family history of medullary thyroid carcinoma) If you develop severe abdominal pain, persistent vomiting, or signs of an allergic reaction, seek urgent NHS medical advice
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Baseline serum creatinine and estimated glomerular filtration rate should be documented, with repeat testing if patients experience significant vomiting or diarrhea
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