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Other recognised adverse effects include: Injection site reactions (redness, itching) Fatigue (uncommon) Dizziness (uncommon) A modest increase in heart rate has been observed Gallbladder disorders , including cholecystitis and cholelithiasis Diabetic retinopathy complications (particularly in patients with pre-existing retinopathy and rapid improvement in glycaemic control) Acute pancreatitis (uncommon) Dysgeusia (taste disturbance) Increases in pancreatic enzymes (amylase/lipase) Serious allergic reactions, though rare, require immediate medical attention

Diehl AM

Get into bed shortly after injecting and let it work

Over time, these dietary choices can compound into patterns that adversely impact the gut microbiome, which may influence physiology to negate the beneficial effects of the GLP-1 RAs

Theres a network of places that decides whether youre going to have hunger or youre going to have satiety