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One case report describes the onset of dysphagia and gastroparesis in a patient with Crohns disease 2 months before developing Wernicke encephalopathy, which resolved with high dose thiamine (72)

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Kidney function becomes particularly relevant since GLP-1 medications affect renal perfusion

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Sweating is not listed as an adverse effect in the Summary of Product Characteristics (SmPC) or official prescribing information from the Medicines and Healthcare products Regulatory Agency (MHRA)

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This patient presented with persistent HAGMA despite correction of renal failure and sepsis

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