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110-114 Other controllable behaviors or conditions that in some patients may worsen symptoms include certain types of exercise (e.g., pelvic floor muscle exercises see below under Physical Therapy), sexual intercourse, wearing of tight-fitting clothing, and the presence of constipation

extended release version approved in 2017 Side Effect Update Date: May 28, 2025 Medication Description: Treats type 2 diabetes Updated Side Effects/Safety Information: A new warning about the risk of serious kidney injury caused by dehydration due to gastrointestinal adverse effects like diarrhea and vomiting

Even slight temperature deviations during transit can lead to reduced efficacy, compliance violations, and potential safety risks for patients

These decisions must always be made by a licensed medical professional after a full evaluation