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How long it stays potent in the fridge depends on the specific formulation from your pharmacy

If you experience persistent or worsening symptoms, dosage adjustments may be required

Signs and symptoms of low blood sugar may include: dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery kidney problems (kidney failure)

The article says these medications bind GLP-1 receptors on pancreatic beta cells, stimulating insulin secretion when blood glucose rises, while simultaneously signalling satiety centres in the hypothalamus to reduce appetite and slow gastric emptying