Other serious but rare side effects include pancreatitis (severe stomach pain, fever, nausea, vomiting), gallbladder problems (yellowing of skin or eyes, upper stomach pain), kidney injury (decreased urination, swelling), diabetic retinopathy (vision changes), severe allergic reactions (rash, swelling of face/throat, difficulty breathing), increased heart rate, and new or worsening depression or suicidal thoughts
2010 Sep;95(9):4291-304
These numbers are unusually strong for a nonrandomized oncology-adjacent study, which is exactly why they are both intriguing and difficult to accept at face value
"GLP-1 receptor agonists in MASH: mechanisms and clinical evidence." Alimentary Pharmacology & Therapeutics
On those days I had slept poorly (fewer than 6 hours) or skipped the drink entirely