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Immediate medical attention is required if urine odor changes are accompanied by: Signs of diabetic ketoacidosis : excessive thirst, frequent urination, nausea, vomiting, abdominal pain, confusion, fruity-smelling breath, or rapid breathing

If newly identified safety signals are identified, the FDA will determine what, if any, actions are appropriate after a thorough review of available data, Tantibanchachai said

Do not use the medication past this date

doi: 10.1210/jcem.81.1.8550773 46 BornerTWorkingerJLTinsleyICFortinSMSteinLMChepurnyOGet al

[12] [11] Healthcare professionals should actively enquire about gastrointestinal symptoms, as patients may be reluctant to report embarrassing symptoms such as bad smelling burps without direct questioning