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Claudia Gagnon is an adult endocrinologist at CHU de Qubec-Universit Laval, full professor in the Department of Medicine at Universit Laval, and researcher at CHU de Qubec-Universit Laval Research Centre

Seek immediate medical attention (call 999 or attend A&E) if you experience: Severe bleeding that won't stop, including nosebleeds lasting more than 10 minutes, vomiting blood, or coughing up blood Blood in urine (pink, red, or dark brown discolouration) or black, tarry stools Severe, persistent abdominal pain radiating to the back, with or without vomiting (possible pancreatitis) also stop taking Ozempic Sudden severe headache , confusion, vision changes, or weakness, which could indicate intracranial bleeding Signs of severe allergic reaction to Ozempic, including facial swelling, difficulty breathing, or widespread rash Contact your GP or diabetes specialist nurse within 2448 hours if: Persistent gastrointestinal symptoms (nausea, vomiting, diarrhoea) that prevent you from taking medications or maintaining hydration Unusual bruising or bleeding that seems excessive for minor trauma Signs of dehydration including reduced urination, dizziness, or extreme thirst Difficulty managing blood glucose levels or unexplained hypoglycaemia Sudden visual changes or new floaters (possible retinopathy or vitreous haemorrhage) For urgent but non-emergency concerns, contact NHS 111 for advice

Specialized Delivery : It comes in a pre-filled injection pen, adding to its production costs

Alcohol can compound dehydration and GI symptoms

It can make the scale fluctuate by 2-5 pounds on any given day due to retained food and water, but this is not true weight gain

These microbial alterations were accompanied by functional impairments, with CMS significantly reducing SCFA production, particularly acetic and propionic acid concentrations (Tyagi et al., 2025)