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Seek urgent medical attention (call 999 or go to A&E) if you experience : Severe, persistent abdominal pain, particularly if radiating to the back (possible pancreatitis) Severe allergic reaction (difficulty breathing, swelling of face or throat, rapid heartbeat) Contact your GP or diabetes specialist nurse promptly if you experience : Persistent vomiting that prevents adequate fluid intake Signs of dehydration (dark urine, dizziness, reduced urination) Right upper abdominal pain, fever or yellowing of the skin/eyes (possible gallbladder disease) Prolonged diarrhoea or vomiting that could lead to dehydration and kidney problems In cases of intolerable gastrointestinal side effects, healthcare professionals may consider temporarily reducing the dose or, if symptoms persist, discontinuing the medication and exploring alternative therapeutic options in line with NICE guidelines for type 2 diabetes management

Leading specialty pharma manufacturer Boehringer Ingelheim International GmbH Diabetes-focused healthcare innovation ZEALAND PHARMA Peptide therapeutics development specialist Hanmi Pharm

Treatment with the DPP-4 inhibitors, linagliptin (5 mg/kg/day) and sitagliptin (50 mg/kg/day), and the GLP-1 analogue, liraglutide (200 g/kg/day), significantly reduced inflammatory markers such as inducible NO synthase, cyclooxygenase, and VCAM-1 via the AMPK pathway in LPS-induced endotoxemic shock in rats as a model of human sepsis [115]

In comparable trials, SGLT-2 medications all demonstrated an even greater reduction in kidney events than Ozempic did in the FLOW trial

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Compared with short-acting products, long-acting GLP-1 RAs usually present better efficacy in reducing HbA1c, which may result from their ability to better control FPG levels