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When to Contact Your Provider and What Signals Progress Contact your provider immediately if you experience severe abdominal pain, persistent vomiting lasting more than a few hours, signs of dehydration (extreme thirst, dark urine, dizziness upon standing), or any indication of allergic reaction such as difficulty breathing or facial swelling

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Patients should continue monitoring blood glucose as directed and be aware of hypoglycemia risk if taking other glucose-lowering medications, particularly insulin or sulfonylureas