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"I left his office feeling validated a real doctor confirming I was not a freak, that the medication really had done this to me and trepidatious that there was more to deal with in the coming weeks," she wrote

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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

Example: 5 mg vial at 250 mcg per dose Total peptide: 5,000 mcg

By doing so, it helps reduce hunger and increase feelings of fullness after eating, which can lead to a reduction in overall calorie intake and assist with weight loss efforts

Psychol Med (2023) 53:526778