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Seek urgent medical attention (call 999 or attend A&E) if you experience: Severe abdominal pain, particularly if accompanied by vomiting Signs of pancreatitis: severe upper abdominal pain radiating to the back Symptoms of severe dehydration: confusion, rapid heartbeat, very low urine output Allergic reactions: difficulty breathing, facial swelling, severe rash Your healthcare provider may wish to investigate potential underlying causes of fatigue through blood tests , including: Full blood count (to check for anaemia) Thyroid function tests Vitamin B12 and folate levels Iron studies Kidney and liver function HbA1c (if diabetic or pre-diabetic) In some cases, dose adjustment or temporary treatment interruption may be necessary to allow recovery from side effects

doi: 10.1016/j.pharmthera.2017.10.018 45 YasuiMTanakaHSeinoY

Choose a thinner gauge needle (29-30 gauge) for less skin trauma

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If prescribed, the patient can get the medication from a pharmacy

Regardless of whether the patients evaluated were Type 2 diabetics, the weight loss results were achieved with little to no safety concerns