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Persistent flushing or itching warrants stopping and seeking qualified medical input before any dose or timing changes

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Agrawal recommends discussing: All medications youre taking, especially those that may increase hypoglycemia risk Your typical drinking habits and frequency Any history of pancreatitis, liver disease, or heavy alcohol use Whether nausea, vomiting, or severe hangovers have already occurred on the medication How to recognize and treat low blood sugar if it happens while drinking These discussions allow providers to give individualized advice instead of generic warnings, Agrawal says

In rare instances, vitiligo can spread to cover the entire body, a condition known as universal vitiligo

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