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Additional safety considerations include pancreatitis risk, gallbladder disease, potential for acute kidney injury with dehydration, and possible worsening of diabetic retinopathy with rapid glycemic improvement

More than half of IIH patients experience persistent headache following resolution of papilledema and normalization of CSF pressure [28,29,30]

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However, when stomach contents remain present for longer periods, there is increased opportunity for gastric acid to reflux back into the oesophagus, particularly when lying down or bending forward