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Seek urgent medical care if you experience persistently elevated blood glucose (above 300 mg/dL), symptoms of severe hyperglycemia (excessive thirst, frequent urination, fatigue), dehydration, or signs of diabetic ketoacidosis (nausea, vomiting, abdominal pain, rapid breathing, fruity breath odor)

Patients should maintain awareness of their hydration status, particularly during the initial weeks of treatment when gastrointestinal side effects tend to be most pronounced

Egecioglu, E., et al

Gallbladder Problems: Pain in the upper abdomen, fever, yellowing of the skin or eyes, or pale stools may indicate gallbladder issues