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These issues can manifest in several ways

Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M, Tugwell P: The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses

Gastrointestinal side effects were the most commonly reported by patients taking orforglipron

If you experience any adverse effects that you suspect may be related to the combination of Mounjaro and alcoholsuch as severe nausea, repeated vomiting, signs of dehydration (dark urine, dizziness, reduced urination), unexplained abdominal pain, or episodes of hypoglycaemiacontact your GP or diabetes team promptly

Ding WG, Renstrom E, Rorsman P, Buschard K, Gromada J (1997) Glucagon-like peptide I and glucose-dependent insulinotropic polypeptide stimulate Ca2+-induced secretion in rat alpha-cells by a protein kinase A-mediated mechanism