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If youre having side effects, your dose is too high. This delayed gastric emptying may lead to reduced efficacy of birth-control pills by reducing their absorption, though the research on this is still unclear

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Contact your GP or prescribing clinician if diarrhoea persists beyond 48 hours, worsens significantly, or is accompanied by dehydration, fever, or blood in stools

Effect of empagliflozin on liver fat in patients with type 2 diabetes and nonalcoholic fatty liver disease: a randomized controlled trial (E-LIFT Trial)

Esto lo hace estimulando la secrecin de insulina y disminuyendo la secrecin de glucagn , aclara en el sitio web