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More serious but rare side effects require immediate medical attention

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26 From a bioenergetics angle, the GLP-1 response is highly inefficient (GLP-1 synthesis requires ATP), due to the majority of the GLP-1 secreted being inactivated before it reaches its targets

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Very rare : A medical eye condition called non-arteritic anterior ischaemic optic neuropathy (NAION) this may cause gradual vision loss in one of your eyes