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When blood glucose is elevated, osmotic diuresis occurs, leading to increased urination and compensatory thirst (polydipsia)

Nausea, vomiting, and diarrhea may affect fluid balance and lead to dehydration

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After starting, dose is adjusted every four weeks, blood sugar is monitored, and any emerging weight loss injection side effects are managed proactively

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doi:10.2337/dc08-1797