This is due to the medications action on the digestive system, particularly its effect on slowing gastric emptying, which can lead to increased fermentation of undigested food by gut bacteria, resulting in gas
Serious adverse effects requiring immediate medical attention include severe abdominal pain radiating to the back (potential pancreatitis), right upper quadrant pain, fever, or jaundice (potential gallbladder disease), persistent vomiting preventing oral intake or reduced urination (dehydration/kidney injury risk), visual changes (diabetic retinopathy concerns), or signs of allergic reaction such as rash, difficulty breathing, or facial swelling
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