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Each increase should be followed by another four-week stabilization period before the next adjustment

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[DOI] [PubMed] [Google Scholar] 15.Vadini F., Simeone P.G., Boccatonda A., Guagnano M.T., Liani R., Tripaldi R., Di Castelnuovo A., Cipollone F., Consoli A., Santilli F., et al

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[14] [15] When to contact your GP or diabetes team : Persistent nausea or vomiting that prevents medication or fluid intake Signs of hypoglycaemia (tremor, sweating, confusion, palpitations) HbA1c remaining above target despite medication adherence Unexplained weight regain or inadequate weight loss Symptoms of dehydration or nutritional deficiency A multidisciplinary approach involving the bariatric surgical team, diabetes specialists, dietitians, and primary care is essential for optimal outcomes

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