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Fatigue is less common, affecting 11% of patients during trials
These approaches, however, cannot provide information about the real-time dynamics of GSH concentration changes 9
Clinicians should monitor patients for potential adverse effects including pancreatitis (severe, persistent abdominal pain), gallbladder disease (right upper quadrant pain), diabetic retinopathy complications (especially with rapid glucose improvement), acute kidney injury with dehydration, and hypoglycemia when combined with insulin or sulfonylureas
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