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The slower, more controlled release from subcutaneous tissue is by design

Patients should be advised to contact their GP or NHS 111 if they experience: Red flag symptoms requiring urgent assessment: Severe, persistent abdominal pain , particularly if in the upper abdomen and radiating to the back (may indicate pancreatitis) Severe abdominal pain and distension with vomiting and inability to pass wind or stools (may indicate bowel obstruction) Persistent vomiting , particularly if unable to keep down fluids, raising concerns about dehydration Abdominal distension with rigidity or extreme tenderness on palpation Blood in vomit or stools (melaena or haematochezia) Unintentional weight loss beyond expected therapeutic effects Fever accompanying abdominal symptoms , which may suggest infection or inflammation Right upper quadrant pain or jaundice (yellowing of skin/eyes), which may indicate gallbladder disease For severe symptoms, call 999 or go to A&E immediately

Wegovy and metformin are meant to be used alongside a healthy diet and exercise plan for maximum effectiveness

doi:10.1136/bmj-2023-078699 American Diabetes Association

The honest answer is probably yes, with the right oversight, the right titration, and a plan that doesn't assume the drug does all the work

For residents of Clemmons, there are options along Lewisville-Clemmons Road