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Diabetes 60 , 25982607 (2011)

Severe abdominal pain, particularly if accompanied by nausea, vomiting, and fever, may indicate pancreatitis, a rare but serious complication that has been reported with incretin-based therapies

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If its unsealed or damaged in any way, use another needle

doi: 10.1016/j.cell.2014.04.007 150 MichailidouIWillemsJGKooiEJvan EdenCGoldSMGeurtsJJet al