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Specific situations that warrant urgent discussion include: Severe or persistent side effects such as severe nausea, vomiting, abdominal pain, or signs of pancreatitis (severe upper abdominal pain radiating to the back)seek immediate medical attention and stop taking Ozempic if pancreatitis is suspected Symptoms of thyroid problems , including a lump in the neck, hoarseness, difficulty swallowing, or shortness of breath (rodent studies showed C-cell tumours with semaglutide, though the relevance to humans remains uncertain) Signs of diabetic ketoacidosis (DKA) such as abdominal pain, nausea, vomiting, deep breathing, drowsiness or fruity-smelling breathcall NHS 111 or 999 if you suspect DKA Symptoms of gallbladder disease such as persistent right-upper abdominal pain, fever, or yellowing of the skin/eyes Pregnancy or planning pregnancy , as GLP-1 receptor agonists should be discontinued at least two months before conception Significant changes in renal function or symptoms suggesting kidney problems You should also arrange a planned discussion if: You have achieved your target HbA1c and weight goals and wish to explore whether continued treatment is necessary You are experiencing financial difficulties affording the medication You are concerned about long-term use or potential risks You are planning surgery or other medical proceduresinform your surgical and anaesthetic teams about your Ozempic use Your GP can arrange appropriate monitoring after stopping , including home blood glucose checks, HbA1c measurements at around 3 months, and weight monitoring