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Although rare, anaphylaxis requires urgent treatment

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If hypoglycemia occurs, treat with 15 grams of fast-acting carbohydrate and recheck glucose after 15 minutes

Reported side effects include: Nausea Vomiting Diarrhea Constipation Abdominal pain or bloating Indigestion (GERD) Heartburn Excessive burping Gas or flatulence Fatigue Headache Dizziness Lightheadedness Hair thinning Injection site pain, redness, or swelling Loss of appetite Acid reflux Cold sweats Dry mouth Metallic taste in mouth Mild rash Trouble concentrating Restlessness or jitteriness Unusual tiredness Some patients may experience severe nausea , especially during the first few weeks

Dose changes should be based on treatment response and tolerability