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It is important to distinguish between a direct drug side effect and symptoms related to the underlying condition being treated

Dehydrated skin

Other adverse reactions include: Central Nervous System Drowsiness, mental clouding, lethargy, impairment of mental and physical performance, anxiety, fear, dysphoria, psychological dependence, mood changes

Engevik MA, Luck B, Visuthranukul C et al (2021) Human-derived bifidobacterium dentium modulates the mammalian serotonergic system and gutbrain axis

Dehydration can affect kidney function and may require temporary dose adjustment or discontinuation of Ozempic until symptoms resolve