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This medication has been shown to cause a specific type of thyroid tumor, known as thyroid C-cell tumors, in animal studies with rats. It is uncertain whether these tumors could occur in humans. Prior to starting this treatment, discuss with your healthcare provider the potential benefits and risks involved.

Please take note of the following precautions:

• Do not take this medication if you have a history, either personally or in your family, of medullary thyroid carcinoma or an inherited condition called multiple endocrine neoplasia syndrome type 2 (MEN 2).
• Be vigilant for any signs of thyroid tumors. If you experience symptoms such as a new or unusual growth in the neck, difficulty in swallowing, breathing difficulties, or persistent hoarseness, inform your doctor immediately.

These precautions are crucial for ensuring your safety while using this medication.

When taking exenatide, you might experience some mild side effects as your body adjusts, such as nausea, vomiting, diarrhea, nervousness, or an upset stomach. These symptoms generally improve over time. You may also notice a decreased appetite or weight loss. If these symptoms persist or worsen, it's important to consult your healthcare provider.

Exenatide typically does not cause low blood sugar on its own, but this can occur if combined with other diabetes medications. Be mindful of symptoms like sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, headache, or tingling hands/feet, as these could indicate low blood sugar. To manage this, carry glucose tablets or gels, or consume quick sources of sugar such as candy or fruit juice if needed. It's advisable to discuss your diabetes management plan and potential adjustments with your healthcare provider.

High blood sugar symptoms, such as increased thirst and urination, should also be reported to your healthcare provider promptly, as they may necessitate changes to your medication, diet, or exercise regimen.

Serious side effects are rare but require immediate medical attention. These include signs of kidney issues (such as changes in urine output) and symptoms of pancreas or gallbladder disease (persistent nausea/vomiting, severe stomach pain). Additionally, if you experience signs of a severe allergic reaction, such as a rash, itching/swelling, severe dizziness, or trouble breathing, seek medical help immediately.

Always inform your doctor about any other unusual effects you notice. This summary does not cover all possible side effects, so maintaining open communication with your healthcare provider is crucial for safe and effective management of your condition.