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In good news, for more severely ill patients who can tolerate little, side effects dont appear to be much of a problem

Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures 2019 update: Cosponsored by American association of clinical endocrinologists/American college of endocrinology, the obesity society, American society for metabolic and bariatric surgery, obesity medicine association, and American society of anesthesiologists

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Aside from gastrointestinal side effects, Ozempic may also cause hypoglycemia (low blood sugar) when taken with other diabetes medications like sulfonylureas or insulins