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Sensitive skin may do better with slower introduction or lower-strength products

Serious side effects requiring immediate medical attention: pancreatitis (severe, persistent abdominal pain), kidney complications from dehydration caused by nausea, vomiting, or diarrhea, acute gallbladder disease, diabetic retinopathy changes in patients with type 2 diabetes, severe gastrointestinal disease, hypoglycemia when combined with insulin or sulfonylureas, increasing heart rate, and worsening depression or suicidal ideation

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