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More serious but rarer side effects include pancreatitis (uncertain risk increase), gallbladder disease (increased risk with rapid weight loss), hypoglycemia when combined with other diabetes medications, and injection site reactions

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By day 52, cumulative Dox exposure reached 30 mg/kg, at which point significant LV dilation and functional failure are known to occur, consistent with prior models [1]

But over time, as your body becomes better at switching between burning carbs and burning fats