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these medications may need dose adjustment Increased heart rate, typically a modest elevation Dehydration risk, especially with persistent vomiting or poor fluid intake, which can lead to acute kidney injury According to MHRA guidance, rare but serious adverse effects include acute pancreatitis (inflammation of the pancreas), gallbladder disease including cholelithiasis (gallstones), and thyroid C-cell tumours (observed in rodent studies

B vitamins support energy metabolism but do not directly influence GLP-1

RNA isolation and quantitative RT-PCR gene expression levels The total RNA from the kidney tissue was isolated using the TRIzol reagent (Invitrogen) [27], and the cDNA was synthesized following the manufacturers protocol, using 1 g RNA (Prime ScriptTM RT reagent Kit, Takara)