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[1] Other recognised side effects include: Injection site reactions (erythema, pruritus, swelling) Decreased appetite (which contributes to the weight loss effect) Fatigue and dizziness Increased heart rate (modest increases observed in clinical trials) Hypoglycaemia (particularly when used with insulin or sulfonylureas) Serious but rare adverse effects include pancreatitis (persistent severe abdominal pain, sometimes radiating to the back, with or without vomiting), gallbladder disease (right upper quadrant pain, nausea, vomiting), and potential thyroid C-cell tumours (observed in rodent studies, though relevance to humans remains uncertain)

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