It makes your dry mouth worse and provides a favourable environment for the bacteria to grow
Another option is Trulicity (dulaglutide)
This dose-increase fatigue follows a similar pattern to initial fatigue: worst in the first week after increasing, gradual improvement over weeks 2 and 3, return to normal energy by week 4 at the new dose
He M-D, Xu S-C, Lu Y-H, Li L, Zhong M, Zhang Y-W, et al
While serious bowel complications are rare, the SmPC does note post-marketing reports of intestinal obstruction in some patients
What to Expect Week by Week While your journey will be completely unique, based on the trials, you can expect your journey to be something like below - Weeks 14 (1.5mg): The adjustment phase