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Suspected side effects from any medicine can be reported to the MHRA via the Yellow Card Scheme at yellowcard.mhra.gov.uk
If you've received a covid vaccine shot, the general recommendation for the gauge of that needle is to use a 22-25-gauge needle

Patients with established cardiovascular disease should receive a pharmacological treatment intensification with an agent that has demonstrated benefit in cardiovascular safety studies: In patients with pre-existing atherosclerotic cardiovascular disease (ASCVD), a GLP-1 receptor agonist, or SGLT-2 inhibitor with characterized cardiovascular safety should be used

GLP-1 receptor agonists are administered subcutaneously, meaning they enter the circulation through the skin rather than passing through the digestive system first

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