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Important safety warning seek urgent medical attention if you experience any of the following: Severe or persistent abdominal pain (which may indicate acute pancreatitis) Right upper quadrant pain, fever, or jaundice (which may indicate gallbladder disease) Reduced urine output, dizziness, or signs of dehydration (which may indicate acute kidney injury) Severe nausea or vomiting preventing adequate fluid intake Signs of a serious allergic reaction (swelling, difficulty breathing, rash) Symptoms of hypoglycaemia such as dizziness, sweating, or confusion These may represent serious adverse effects requiring prompt clinical assessment

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Excellent graphic overview on pharmacological and clinical aspects of oral semaglutide in T2DM by Ney Carter Borges MD M.Sc

It's important to note that GLP-1 receptor agonists are associated with an increased risk of gallbladder and biliary disorders, including cholelithiasis (gallstones) and cholecystitis (gallbladder inflammation), as documented in their Summary of Product Characteristics