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However, chronic stress can prolong such states, keeping blood sugar levels high and prodding the pancreas to secrete insulin repeatedly

When to seek urgent medical attention : Severe, persistent abdominal pain that does not resolve (if pancreatitis is suspected, stop taking the medication and seek immediate medical assessment) Signs of dehydration from persistent vomiting or diarrhoea (which can lead to acute kidney injury) Allergic reactions (rash, difficulty breathing, swelling of face or throat) Symptoms of hypoglycaemia if taking other glucose-lowering medications (shakiness, confusion, sweating) Regular follow-up with your healthcare team is essential to monitor your response to treatment, adjust doses appropriately, and address any concerns promptly

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These contraindications stem from rodent studies showing increased thyroid C-cell tumor incidence