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Metabolic Very common (10% or more): Hypoglycemia (up to 29.8%), decreased appetite (up to 14%) Common (1% to 10%): Severe hypoglycemia Hypoglycemia (blood glucose less than 54 mg/dL or 3 mmol/L) has commonly been reported in patients with type 2 diabetes

The DVLA advises that people with diabetes at risk of hypoglycaemia must follow specific guidance regarding driving safety

Nat Rev Endocrinol (2018) 14(5):30116

Multiple community reports support this observation, particularly during the higher-dose phases of the escalation schedule

If you have sensitive skin, start with every other day and monitor how your skin responds

This allows for individualised risk assessment and monitoring plans