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Ongoing monitoring and regular check-ups with your doctor are important

This is one reason the 5mg/ml concentration exists, because it keeps even the highest maintenance doses well within the capacity of a standard syringe

More serious but less common side effects to watch for at this dose include acute pancreatitis (symptoms: severe abdominal pain radiating to the back, nausea, vomiting), gallbladder problems (symptoms: sudden pain in the upper right abdomen, fever, jaundice), and significant hypoglycemia if combined with certain diabetes medications

Gradual dose escalation may reduce gastrointestinal symptoms