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These include: Severe stomach pain Ongoing vomiting Severe dehydration Allergic reactions like rashes or trouble breathing Symptoms of acute kidney injury, such as decreased urination If these occur, seek immediate medical care

[DOI] [PMC free article] [PubMed] [Google Scholar] [82].Rinaman L

A., Warner, K

Evidence from animal and human studies demonstrates that GLP-1 RAs improve mitochondrial function, reduce oxidative stress, attenuate chronic inflammation, and enhance autophagic activity

(See excerpt at right.) ACE-inhibitors should be discontinued at least 36 hours before starting S/V, and some veterinary cardiologists recommend a "wash out period" of as long as 72 hours before starting S/V