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Several factors may contribute to dizziness in patients taking GLP-1 medications: Hypoglycaemia (low blood glucose) particularly when GLP-1 agonists are used alongside other glucose-lowering medications such as sulphonylureas or insulin Dehydration resulting from reduced fluid intake due to decreased appetite or from gastrointestinal side effects such as nausea, vomiting, or diarrhoea Orthostatic hypotension a drop in blood pressure upon standing, which may occur due to volume depletion or rapid weight loss Reduced caloric intake significant appetite suppression may lead to inadequate nutrition, potentially causing weakness and dizziness The frequency and severity of dizziness vary between individuals and specific GLP-1 products

In fourth embodiment, the present invention is related to a process for the preparation of semaglutide, comprising the steps of: a) culturing a host cell comprising a nucleotide sequence encoding of Formula (II) or Formula (III) under suitable conditions for expression, SUBSTITUTE SHEETS (RULE 26) Insoluble tag Fusion tag Semapeptide (Nucleotide Sequence) Formula (II) Affinity Tag Insoluble tag Fusion tag Semapeptide (Nucleotide Sequence) Formula (III) wherein, insoluble tag is nucleotide sequence of Alanine -Valine