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Pickart and Margolina (2018) review documents broad gene-expression effects in vitro

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Seek immediate medical attention (call 999 or attend A&E) if you develop: Severe, persistent abdominal pain (potential pancreatitisa rare but serious side effect) Signs of severe dehydration with altered consciousness Symptoms of diabetic ketoacidosis (though rare in type 2 diabetes and more likely if insulin is reduced abruptly or when taking SGLT2 inhibitors) Your healthcare team can assess whether fatigue relates to Ozempic, underlying diabetes control, other medications, or separate medical conditions such as anaemia, thyroid dysfunction, or vitamin deficiencies all of which are more common in people with diabetes