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report severe abdominal pain promptly Diabetic retinopathy : For people with diabetes, rapid improvement in blood glucose control with GLP-1 agonists may worsen retinopathy Alcohol : Limit or avoid alcohol consumption while taking methotrexate due to increased risk of liver toxicity Patients should report suspected side effects to the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk)

Early weight loss during weeks 14 is often water loss combined with reduced calorie intake from genuine appetite reductionnot from the medication 'burning' fat, but from eating less because you feel satisfied sooner

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Ensure understanding of injection technique and site rotation

It is less expensive and more available than Wegovy, and it is taken as a pill, making it a good alternative for patients who are needle-phobic

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