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No Published source: Diabetes Care , January 2016;39 (suppl 1):S1S112 Available at:

This delayed gastric emptying effect may attenuate somewhat with continued use but remains clinically significant

The delayed emptying also increases intragastric pressure, the force pushing contents upward toward the lower esophageal sphincter (the valve separating your stomach from your throat)

Hypoglycaemia is more likely when Mounjaro is used in combination with insulin or sulfonylureas (such as gliclazide), as these medications independently increase insulin levels