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Full stomach precautions also should be used in patients who need urgent or emergency surgery

Side Effects Common side effects may include: Nausea or vomiting Diarrhea or constipation Decreased appetite Abdominal pain Rare but serious side effects include: Severe allergic reactions, such as rash, swelling, or difficulty breathing Pancreatitis, indicated by severe abdominal pain or vomiting Kidney problems, such as reduced urination or swelling in the legs If any side effects persist or worsen, consult your healthcare provider immediately

If you are very lean, a gentle pinch may help

However, its primary mechanism is AMPK activationsimilar to metforminrather than GLP-1 manipulation