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During treatment , contact your healthcare provider if you experience: Severe or persistent abdominal pain , particularly if radiating to the back, which could indicate pancreatitis Neck swelling or lump , difficulty swallowing, or persistent hoarseness Worsening symptoms of your autoimmune condition, such as increased joint pain, rashes, or fatigue Severe gastrointestinal symptoms including persistent vomiting or diarrhoea, which may lead to dehydration and affect kidney function Signs of hypoglycaemia (low blood sugar), especially if taking Ozempic with insulin or sulfonylureas Visual changes or symptoms suggesting diabetic retinopathy progression Signs of severe allergic reaction such as swelling of the face, lips, tongue, or throat, breathing difficulties, or severe rash (seek urgent medical attention) Regular monitoring is crucial