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Because metformin hydrochloride is dialyzable (with a clearance of up to 170 mL/min under good hemodynamic conditions), prompt hemodialysis is recommended to correct the acidosis and remove the accumulated metformin

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Common side effects In the SUSTAIN trials, the most frequently reported side effects with semaglutide were: 5 Nausea: 11-20% of participants (compared to 3-8% with placebo) Diarrhoea: 4.5-11% of participants Vomiting: 4-11.5% of participants Constipation: Common, particularly in early weeks These side effects are typically mild to moderate and tend to improve as your body adjusts to the medication

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Consequently, the commercial and regulatory strategy for MC4R-targeted therapies has logically shifted toward indications with more predictable and homogeneous patient populations

Stat Med (2011) 30(4):37799