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More serious but less common adverse effects include: Pancreatitis : Patients should seek immediate medical attention if experiencing severe, persistent abdominal pain radiating to the back Gallbladder disease : Rapid weight loss can increase the risk of gallstones Hypoglycaemia : Particularly when used alongside other diabetes medications such as sulphonylureas or insulin Diabetic retinopathy complications : Rapid improvement in blood glucose control may temporarily worsen retinopathy in susceptible individuals Acute kidney injury : Usually in the context of dehydration from vomiting or diarrhoea Animal studies have shown an increased incidence of thyroid C-cell tumours with semaglutide, though the human relevance of this finding is unknown

As HT progresses, its symptoms become more apparent

Sample COAs can also be viewed in our COA library before you buy, so you can review our testing standards in advance

From there, the patient and doctor will collectively decide if they think its best to increase the dosage or maintain it at 1mg

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