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Serious but less common adverse effects require particular vigilance: Diabetic ketoacidosis (DKA) : A rare but serious complication that can occur even with near-normal blood glucose levels ('euglycaemic DKA')
Individuals may find themselves eating in response to these mental cues rather than physiological hunger, leading to excess caloric intake and weight gain over time
Instead, consider sublingual forms of B vitamins that absorb into the blood stream via the large vein under the tongue, and by-pass the gut
It also explains the nausea and vomiting that are most common during dose escalation and usually fade with time
doi: 10.3390/ijms241512032 27 XiaoSQiMZhouQGongHWeiDWangGet al
The FDA approval applies to adults with cardiovascular disease and who are either obese or overweight
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