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It can be brought on by not eating enough food or drinking enough water, electrolyte abnormalities if you are vomiting or have diarrhea, nutritional deficiencies, and hypoglycemia if youre taking other medications that can lower blood sugar

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Use the standard titration schedule with heightened attention to hypoglycemia (particularly postprandial reactive hypoglycemia, which bariatric patients already experience) and to dehydration risk from GI adverse events