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Contact your GP or healthcare provider if you experience: Persistent injection site reactions lasting more than one week Worsening local symptoms despite conservative measures Spreading rash beyond the injection site Generalised urticaria (hives) or widespread itching Signs of infection at the injection siteincreasing pain, warmth, purulent discharge, or fever Recurrent reactions with each injection that are progressively more severe Seek immediate medical attention (call 999 or attend A&E) if you develop: Angioedema swelling of the face, lips, tongue, or throat Difficulty breathing or swallowing Dizziness, light-headedness, or feeling faint (possible anaphylaxis) Widespread blistering or skin peeling Severe generalised rash with systemic symptoms such as fever or malaise These symptoms may indicate a serious hypersensitivity reaction requiring urgent intervention

And the remaining quarter should be complex carbohydrates

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Basal insulin intensification with GLP-1RA and dual GIP and GLP-1RA in patients with uncontrolled type 2 diabetes mellitus: a rapid review of randomized controlled trials and meta-analysis