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All of these conditions can lead to dangerous elevations in oxalates that predispose one to developing kidney stones

Note: If you experience severe, persistent vomiting or diarrhea that prevents you from keeping fluids down, contact your healthcare provider immediately

Besides, only in a minority of patients, elevation of pancreatic or liver enzymes was seen, resulting in no pancreatitis and/or cholelithiasis occurrence, which was also verified in a recent meta-analysis showing that treatment with GLP-1-RAs is not associated with increased risk for acute pancreatitis, renal failure, or malignant neoplasms [43]

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Hold it under your tongue briefly before swallowing