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This can lead tofatty liverdisease in both those who misuse alcohol and those who dont

Hypokalaemia (Low Potassium): In rare cases of severe anaemia corrected rapidly, serum potassium levels can drop rapidly, leading to symptoms such as muscle weakness or an irregular heartbeat

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Concomitant use with other GLP-1 receptor agonists or incretin-based therapies is not recommended, as this combination has not been studied