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Rare but serious effects can include pancreatitis, gallbladder problems, kidney injury (often linked to dehydration from severe vomiting or diarrhea), severe or persistent abdominal pain, serious allergic reactions, worsening of diabetic retinopathy in people with type 2 diabetes, and low blood sugar especially if semaglutide is combined with insulin or sulfonylureas

Early stage dumping syndrome generally consists of cramping or abdominal pain, diarrhea, sweating or feeling flushed, and nausea or vomiting

doi: 10.1177/1087054719829816

(PubMed) Moon DO, Kim MO, Choi YH, Park YM, Kim GY