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The most frequently reported side effects are nausea, vomiting, diarrhea, and constipation, driven by the combined effect both drugs have on slowing gastric emptying

Hortells, L., Johansen, A

Reported side effects Mild local irritation or discomfort at the injection site Headache (typically mild and short-lived) Nausea or dizziness in some patients Sweating Mild fever more commonly reported in post-stroke use, generally manageable with standard antipyretics Contraindications Cerebrolysin is not recommended for individuals with: Active epilepsy or seizure disorders Severe renal (kidney) impairment Known hypersensitivity to any component of the formulation Note: A 2023 Cochrane review noted a potentially higher rate of spontaneous adverse events in some stroke trial subgroups

But when combined with semaglutide, that number nearly doubled

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