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Stop immediately if you experience The following warrant immediate discontinuation and medical consultation: Severe allergic reactions (difficulty breathing, facial swelling, hives) Severe hypoglycemia that does not respond to glucose intake Significant cardiovascular symptoms (chest pain, severe palpitations, fainting) Signs of infection at injection sites (spreading redness, fever, pus) Severe persistent headaches, especially with vision changes Any symptoms that feel seriously wrong, even if not listed here Trust your instincts

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doi: 10.1136/bmjgh-2020-002287