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Diabetes Obes Metab 23(Suppl 3):529

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Low Blood Sugar While Ozempic probably does not itself cause low blood sugar (hypoglycemia), its glucose-lowering effect can sharply increase the odds that other drugs, principally insulin or sulfonylureas, cause hypoglycemia

(Antibodies to thyroglobulin and the thyroid hormones T3 and T4 may also be produced.) These antibodies cause hyperthyroidism by binding to the TSHr and chronically stimulating it