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The New England Journal of Medicine , 336(9), 633-640

Large meals can overwhelm your digestive system

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VanWagner 5 , Anthony Borgmann 3 , Deepak Gupta 3 , Nikhilesh Mazumder 6 , Justin Richard Boike 1 and Manhal Izzy 3 , (1)Northwestern Memorial Hospital/Northwestern University, (2)Northwestern University, (3)Vanderbilt University Medical Center, (4)Vanderbilt University, (5)University of Texas Southwestern Medical Center, (6)University of Michigan Hospitals and Health Centers, Ann Arbor, MI Background: Heart failure (HF) after Transjugular Intrahepatic Portosystemic Shunt (TIPS) occurs in up to 20% of patients within the first year

Warning signs of a severe allergic reaction (anaphylaxis) include: Difficulty breathing, wheezing or hoarseness Swelling of the face, lips, tongue, or throat Difficulty swallowing Rapid pulse or palpitations Dizziness or feeling faint Severe abdominal pain or vomiting Stridor (high-pitched sound when breathing) Patients should also be aware that injection site reactions including redness, itching, or swelling localised to the injection areaare relatively common with Wegovy (affecting up to 1 in 10 patients according to the SmPC) and do not necessarily indicate systemic allergy

Other compounders have taken similar approaches with different additives