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Common side effects may include: Nausea Diarrhea Vomiting Constipation Abdominal pain Indigestion Injection-site reactions Feeling tired Belching Hair loss Heartburn Rare, but serious side effects may include: Acute pancreatitis (including fatal, hemorrhagic, necrotizing) Acute gallbladder disease Acute kidney injury (typically secondary to dehydration) Severe gastrointestinal disease / delayed gastric emptying Hypoglycemia (especially with insulin or sulfonylureas) Hypersensitivity reactions including anaphylaxis and angioedema Pulmonary aspiration during anesthesia or deep sedation (delayed gastric emptying) Suicidal behavior and ideation (monitor) Diabetic retinopathy complications (in T2D clients with pre-existing retinopathy) Thyroid C-cell tumors (rodent data)

Liu Y, Li M, Liu Y, Bai F, Bian K (2019) Effects of pulsed ultrasound at 20 kHz on the sonochemical degradation of mycotoxins