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Pathogenesis of these lesions is incompletely understood, but one theory is that they are secondary to subserosal perforation which then forms a walled off abscess cavity in communication with the lumen of the colon
The slow titration schedule exists specifically to minimize these effects
Attend all scheduled appointments and don't hesitate to contact your GP or diabetes nurse between visits if you experience: Severe or persistent nausea/vomiting preventing adequate nutrition or hydration Signs of pancreatitis (severe, persistent abdominal pain radiating to the back) Symptoms of gallbladder problems (right upper abdominal pain, particularly after eating) Unexplained visual changes Signs of hypoglycaemia if taking other diabetes medications Realistic goal-setting improves long-term success
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