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More serious side effects can include pancreatitis, gallbladder problems, and hypoglycaemia (especially when used alongside other glucose-lowering medications such as sulphonylureas or insulin)

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When substantial abdominal and suprapubic fat is lost, the visible portion of the penis may appear larger due to reduced fat pad obscuring the penile basea phenomenon sometimes referred to as "hidden penis" or "buried penis" in medical literature

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When reviewing the broader scientific literature, fat gain is not painted as black-and-white

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