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Urgent Medical Attention Required Seek immediate medical help (call 999 or attend A&E) if experiencing: Severe chest pain or pressure Severe allergic reaction (anaphylaxis): difficulty breathing, swelling of face/throat, severe rash Symptoms of thyroid storm (rare but serious): high fever, severe agitation, rapid heartbeat, confusion Severe, persistent abdominal pain (potential pancreatitisa rare but serious Saxenda adverse effect) [2] [5] Persistent vomiting preventing fluid or medication intake Suicidal thoughts or behaviour (discontinue Saxenda immediately and seek urgent help) Contact Your GP Promptly Arrange a GP appointment within a few days if experiencing: New or worsening symptoms suggesting thyroid dysfunction (unusual fatigue, significant mood changes, palpitations, tremor) Persistent gastrointestinal symptoms affecting quality of life or nutrition Signs of dehydration from vomiting or diarrhoea Unexplained weight changes inconsistent with treatment expectations New or increased heart rate or palpitations Symptoms of gallbladder disease (upper abdominal pain, particularly after eating) Mood changes or depression Routine Medication Reviews Schedule regular appointments to discuss: Effectiveness of weight management treatment Thyroid symptom control and blood test results Any side effects or tolerability concerns Questions about medication administration or lifestyle modifications Whether continuation of Saxenda remains appropriate based on weight loss response Patients should never stop levothyroxine abruptly, as this can lead to hypothyroid symptoms

PalletNEtienneIBuchlerMBaillyEHurault de LignyBChoukrounGet alLong-term clinical impact of adaptation of initial tacrolimus dosing to CYP3A5 genotype

Immune defence mechanisms of triatomines against bacteria, viruses, fungi and parasites

Pacilli A, Calienni M, Margarucci S, D'Apolito M, Petillo O, Rocchi L et al

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