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10.1111/j.1463-1326.2011.01456.x 55 HeinrichG.GrosP.LundP

Serious side effects (rare but important): Gallbladder problems (risk increases with rapid weight loss) Pancreatitis (inflammation of pancreas) Thyroid C-cell tumors (seen in animal studies, not confirmed in humans) Severe gastroparesis (stomach paralysis in extreme cases) Hypoglycemia if combined with other diabetes drugs Who shouldn't use these drugs: Personal or family history of medullary thyroid cancer Multiple endocrine neoplasia syndrome type 2 History of pancreatitis Severe gastroparesis or digestive issues Pregnant or trying to conceive Dosing and injection frequency Both drugs are once-weekly injections

Folate is especially important for women of childbearing age to help support healthy fetal brain and nerve development.* Inositol, which is sometimes referred to as vitamin B8, is a sugar alcohol that has B-vitamin-like activity to support healthy cellular function and communication.* Vitamin D Your daily dose of sunshine

Proton pump inhibitors (PPIs) such as omeprazole or lansoprazole may be prescribed for more persistent symptoms