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IV fluids if vomiting prevents oral intake Red-flag threshold / inability to keep any liquids down for more than 24 hours requires same-day clinical evaluation Key electrolytes at risk / sodium, potassium, and chloride can fall with severe or prolonged vomiting and diarrhea Dose relationship / GI side effects peak during dose escalation and often improve after 4-8 weeks at a stable dose Concurrent risk / patients on diuretics, SGLT-2 inhibitors, or ACE inhibitors face compounded dehydration risk Why GLP-1 Drugs Cause Dehydration in the First Place GLP-1 receptor agonists work partly by slowing gastric emptying and acting on brainstem nausea centers

Muscle Nerve 60 , 409414 (2019)

This means that improperly stored medication may fail to provide adequate glycemic control or weight management benefits, even if it appears visually unchanged

GGT rises as part of this adaptive response