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BCBS Massachusetts, BCBS Michigan, BCBS Vermont, Independence Blue Cross in Pennsylvania, Blue Cross of Idaho, and Highmark (which operates across Pennsylvania, West Virginia, New York, and Delaware) all implemented restrictions

Seek urgent care if fruity urine odor occurs with: Extreme thirst or dry mouth Deep or rapid breathing Confusion or unusual fatigue Nausea, vomiting, or stomach pain Very high blood sugar levels People with diabetes taking semaglutide should monitor blood glucose regularly and report these symptoms immediately

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