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You should contact your GP or diabetes specialist nurse if you experience: Significant skin changes that cause distress or affect your quality of life, as this may impact treatment adherence Skin breakdown, ulceration, or persistent redness in areas of loose skin, which could indicate infection or other complications Consistent weight loss exceeding 1 kg per week for several weeks, which may require dose adjustment or additional nutritional support Signs of nutritional deficiency , such as brittle nails, hair loss, or unusual fatigue, which may accompany inadequate dietary intake Concerns about injection site reactions , including lumps, persistent bruising, or changes in skin texture at injection sites Seek urgent medical attention if you develop: Severe, persistent abdominal pain (possibly radiating to the back), which could indicate pancreatitis Yellowing of the skin/eyes, fever or severe abdominal pain, which might suggest gallbladder problems Persistent vomiting or signs of dehydration Sudden visual changes, especially if you have pre-existing diabetic retinopathy Symptoms of low blood sugar (hypoglycaemia) if you also take insulin or sulfonylureas Your healthcare provider can assess whether your weight loss is occurring at an appropriate rate and ensure you are receiving adequate nutritional support

Once Blue Cross Blue Shield of Michigan decided to let weight loss drugs into the tent, getting them out is going to be very hard

Stimulating the sir2-spargel axis rescues exercise capacity and mitochondrial respiration in a Drosophila model of Barth syndrome

Ruggero, K., Farran-Matas, S., Martinez-Tebar, A

Our job is to help manage these complexities, not run away from them.

Licensed providers also have emergency protocols in place in case of allergic reactions