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From nausea and constipation to fatigue and accelerated facial aging, these reactions can range from mildly inconvenient to completely intolerable

[PMID: 38355887]

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Contact your GP if this is your first suspected yeast infection, symptoms do not improve after 714 days of treatment, you experience recurrent infections (four or more in 12 months), or you develop unusual symptoms such as fever or foul-smelling discharge

These symptoms may indicate that your current dose is too high for your system, requiring a step-back to a lower dose or an extended plateau before advancing again

Contact your bariatric team or GP if: Your plateau has lasted longer than three to four months without any change despite consistent dietary and lifestyle efforts You are experiencing significant weight regain rather than simply a plateau You notice symptoms such as persistent nausea, vomiting, reflux, or difficulty swallowing, which may indicate a complication such as stricture or gastro-oesophageal reflux disease You are concerned about nutritional deficiencies common after sleeve gastrectomy, these include deficiencies in vitamin B12, iron, vitamin D, calcium, and folate which can affect energy levels and overall wellbeing