Seek immediate medical attention or call emergency services if you experience any of the following: Allergic reactions (severe, including anaphylaxis, angioedema, hives, rash, swelling of face/lips/tongue/throat, difficulty breathing) Changes in vision (worsening of diabetic retinopathy) Gallbladder problems (e.g., gallstones, inflammation, with symptoms like severe upper stomach pain, fever, clay-colored stools, jaundice) Kidney problems (including kidney failure, with symptoms like decreased urination, swelling, unusual tiredness) Low blood sugar (hypoglycemia, particularly if taking other diabetes medications like insulin or sulfonylureas, with symptoms like anxiety, blurred vision, confusion, dizziness, fast heartbeat, feeling jittery, hunger, irritability, light-headedness, mood changes, shakiness, slurred speech, sweating, weakness) Pancreatitis (inflammation of the pancreas, with symptoms like severe and constant stomach pain radiating to your back, with or without vomiting, fast heart rate) Possible thyroid tumors, including cancer (symptoms may include a lump or swelling in the neck, trouble swallowing, hoarse voice, shortness of breath) Pulmonary aspiration (food or liquid getting into the lungs during surgery or procedures requiring anesthesia) Severe stomach problems (e.g., severe nausea, vomiting, or diarrhea leading to dehydration) Contraindications: The following is not an exhaustive list of contraindications
Pause and call your clinician if symptoms escalate: ongoing vomiting or severe pain should not be ignored
Alternative treatment options may be considered if discontinuation is not medically necessary, including other weight management medications or non-pharmacological approaches
If soreness continues across multiple properly rotated sites, reduce injection volume to 0.51ml and consider splitting the weekly dose into two smaller injections rather than one large bolus
However, the reasons why this cycle is disturbed and why tumours form are complicated and multifactorial
