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Additionally, production and supply constraints, including high manufacturing costs and limited scalability, pose significant barriers
Signs and symptoms of low blood sugar may include: dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery dehydration leading to kidney problems

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Despite the potential for side effects, few physicians think that side effects will be a barrier to wider GLP-1RA adoption
doi: 10.1038/npp.2009.75 18 BremnerJ
