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Step 3: Start with a low induction dose

As these continue to accumulate, pressure in the bowel increases

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Red flag symptoms requiring urgent assessment include: Extreme weakness or inability to perform daily activities Persistent dizziness, particularly on standing (which may indicate dehydration or hypotension) Symptoms of hypoglycaemiasweating, tremor, confusion, palpitationsespecially in patients taking insulin or sulphonylureas concurrently Chest pain, breathlessness, or palpitations suggesting cardiovascular complications Severe or persistent vomiting leading to dehydration Reduced urine output (a warning sign of dehydration or acute kidney injury) Signs of pancreatitis: severe, persistent abdominal pain radiating to the back Jaundice or dark urine, which may indicate hepatobiliary complications For severe chest pain, severe persistent abdominal pain (possible pancreatitis), signs of severe dehydration or collapse, call 999 or attend A&E immediately