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Blood pressure and heart rate should be checked frequently, and any signs of cardiovascular stress should prompt immediate reassessment

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Hypoglycaemia oral semaglutide alone does not typically cause low blood sugar, but if combined with insulin or sulphonylureas, hypoglycaemia risk increases and dose adjustments of the other medicines may be needed

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With surgical treatment, now referred to as metabolic and bariatric surgery, patients can achieve a loss of about 30% of their body weight after about 18 months