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Anxiety is not listed among the common adverse reactions in the official Summary of Product Characteristics (SmPC) approved by the MHRA, nor does it feature prominently in the pivotal clinical trials that led to the medication's approval

Hypocortisolism and increased glucocorticoid sensitivity of pro-Inflammatory cytokine production in Bosnian war refugees with posttraumatic stress disorder

Hill, 2013

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Gastrointestinal side effects, including nausea, vomiting, and diarrhea, are extremely common with GLP-1 therapy and may exacerbate nutritional deficits while directly contributing to feelings of unwellness and fatigue