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Other etiologies, such as metformin-induced lactic acidosis and infection, were ruled out with additional testing (a lactic acid level of 1 mmol/l, no signs of acute pancreatitis in CT scan, no signs of pneumonia in a chest X-ray)

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Gastrointestinal Side Effects GLP-1 agonists often cause gastrointestinal side effects, such as nausea, vomiting, and diarrhea, especially when first starting the medication

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when in doubt, check with the dispensing pharmacy