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[1] Contact your GP or diabetes care team if you notice: Consistently elevated blood glucose readings HbA1c rising above your agreed target Unexplained weight gain Return of diabetes symptoms (increased thirst, frequent urination, fatigue) Severe and persistent abdominal pain (with or without vomiting), which could indicate pancreatitis Symptoms of gallbladder disease (pain in upper right abdomen, nausea, vomiting) Signs of dehydration (dizziness, dry mouth, reduced urination) New or worsening visual symptoms, particularly if you have diabetic retinopathy Your healthcare provider may consider dose escalation (Ozempic starts at 0.25 mg weekly for 4 weeks as an initiation dose only, then 0.5 mg, with possible increases to 1 mg and 2 mg weekly doses if needed and tolerated) or investigate other factors affecting your diabetes control

Dowling LR, Strazzari MR, Keely S, Kaiko GE

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The juxta-epithelial region shows the presence of diffuse melanin pigmentation along with the presence of melanocytes and melanophages (macrophages that engulf the melanin pigment)

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