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Research & References Villegas L, Stidham T, NozikGrayck E

4. Thioctic Acid (Alpha-Lipoic Acid)

Rare but serious adverse effects require immediate medical attention: Diabetic ketoacidosis (DKA)even with near-normal blood glucose (euglycaemic DKA) associated with SGLT2 inhibitorsseek emergency care (999/A&E) if you experience excessive thirst, rapid breathing, confusion, unusual fatigue, or sweet-smelling breath Severe pancreatitis (persistent severe abdominal pain radiating to the back)requires urgent medical assessment Acute kidney injury (reduced urine output, swelling, confusion) Fournier's gangrene (necrotising fasciitis of the perineumextremely rare but requires emergency treatment) Contact your GP promptly if you experience persistent vomiting, severe abdominal pain, signs of dehydration, genital pain or swelling, or feeling generally unwell

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