Patients should seek urgent medical attention if they experience: Severe or persistent upper abdominal pain (especially if radiating to the back and accompanied by vomiting), which may indicate pancreatitis contact NHS 111, your GP urgently, or go to A&E if severe Symptoms of gallbladder disease (pain in the upper right abdomen, particularly after eating) New or worsening visual problems , which could indicate diabetic retinopathy complications Signs of acute kidney injury (reduced urination, swelling, fatigue) particularly if experiencing severe vomiting or diarrhoea Patients should also inform their GP or diabetes specialist about: Persistent gastrointestinal symptoms (nausea, vomiting, abdominal pain) Neck symptoms (lump, hoarseness, difficulty swallowing) that persist Planned pregnancy or confirmed pregnancy , as semaglutide should be discontinued at least 2 months before a planned pregnancy and is not recommended during pregnancy or breastfeeding Emergency department attendance also warrants disclosure of Ozempic use, particularly if presenting with abdominal symptoms, as delayed gastric emptying may complicate clinical assessment and management

Doctors typically recommend starting with low doses and gradually adjusting to find the most effective amount
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Severe pain, spreading redness, swelling that worsens over 24 hours, or signs of infection (fever, warmth) warrant immediate medical attention