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When to Contact Your Doctor Schedule a Routine Review Your weekly-average weight has been flat for four weeks or longer Hunger or cravings have returned strongly You have missed doses, had a treatment gap, or are unsure how to restart Side effects prevent adequate fluids, protein, or normal activity You want to change the dose, product, or medication Your blood glucose is higher or lower than expected You have new fatigue, hair loss, swelling, menstrual changes, or other symptoms Seek Prompt or Emergency Care for Red Flags Severe or persistent abdominal pain, especially if it radiates to the back Repeated vomiting, inability to keep fluids down, fainting, or signs of dehydration Yellow skin or eyes, fever with upper abdominal pain, or pale stools Swelling of the face or throat, breathing difficulty, or widespread hives Severe low-blood-sugar symptoms, particularly with insulin or a sulfonylurea Sudden or worsening vision changes Pregnancy planning Semaglutide should be discussed well before a planned pregnancy

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