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If you experience an adverse event, report it to FDA MedWatch

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Signs and symptoms of low blood sugar may include: dizziness or lightheadedness, blurred vision, anxiety, irritability or mood swings, sweating, slurred speech, hunger, confusion or drowsiness, shaking, weakness, headache, fast heartbeat, and feeling anxious

Gout is not listed as a recognised adverse effect in the Summary of Product Characteristics (SmPC) for semaglutide, and the drug's mechanism of action does not directly influence uric acid metabolism or crystal formation in joints