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10.1016/j.diabres.2021.109119 26 SunJ.NiQ.XieJ.XuM.ZhangJ.KuangJ.et al (2019)

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Contact your healthcare provider promptly for: Severe, persistent abdominal pain (potentially indicating pancreatitis) Signs of allergic reaction (rash, difficulty breathing, facial swelling) Symptoms of thyroid tumors (neck lump, hoarseness, difficulty swallowing) Severe hypoglycemia symptoms, especially if taking insulin or sulfonylureas Persistent vomiting or diarrhea that could lead to dehydration Vision changes (should be reported at your next appointment) Symptoms of gallbladder disease (right upper abdominal pain, fever, jaundice) Patients with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 should not use tirzepatide