We identified eleven randomized clinical trials
However, oral semaglutide (Rybelsus) increases thyroxine exposure and requires thyroid function monitoring when used with levothyroxine, with careful attention to timing of administration
In addition to these, there are various autoimmune diseases that range from common to rare [10, 33]
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Serious but rare risks include hypoglycemia (low blood sugar), acute pancreatitis (severe, persistent abdominal pain often with vomiting), acute gallbladder disease (sudden right-upper abdominal pain that may radiate to the shoulder), non-arteritic anterior ischemic optic neuropathy (sudden, potentially permanent vision loss), mood changes, and severe allergic reactions with breathing difficulty or swelling of the lips, tongue, or throat
Another branch forms (E)-ajoene and (Z)-ajoene isomers
