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Commonly listed adverse effects of semaglutide include GI discomfort, diarrhea, cholelithiasis, and hypoglycemia [8]

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In patients with alcohol dependence and delirium unresponsive to high doses of benzodiazepines, alcoholic pellagra should be considered, since chronic alcoholism leads to a lack of tryptophan 2,3-dioxygenase, an enzyme linked to niacin synthesis

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