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[5] [7] Patients should be counselled about expected side effects before initiating treatment and advised to report persistent or severe symptoms to their healthcare professional

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Red flag symptoms that require urgent medical assessment include: Severe, unquenchable thirst combined with excessive urination Nausea and vomiting that prevents oral fluid intake Abdominal pain, particularly if severe or persistent Rapid breathing or shortness of breath Fruity-smelling breath Confusion, drowsiness, or altered consciousness These features may indicate diabetic ketoacidosis (DKA) , a medical emergency