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Side Effects Shaking, trembling, sweating, fast or pounding heartbeat, lightheadedness, hunger, confusion Change in how much or how often you urinate, lower back or side pain, blood in your urine Diarrhea, dry mouth, sunken eyes, thirst, wrinkled skin Warnings Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease or a history of diabetic retinopathy or pancreas problems

What the 2025 Expert Consensus Found Using a Delphi process with 58 experts from 17 countries, the panel reviewed available evidence and reached key agreements: 1