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Patients most often notice dry mouth, trouble sleeping, mild nausea, constipation, headache, or a slightly faster heart rate during the first few weeks

Please inform your provider if any of the following apply: Diabetic Eye Disease In patients with Type 2 diabetes, worsening diabetic retinopathy has been reported during periods of rapid blood sugar improvement

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The article lists personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia type 2, and pregnancy as contraindications, and says a history of acute pancreatitis or severe kidney disease requires careful evaluation first