For those taking concurrent diabetes medications, dose adjustments may be necessarythe Ozempic SmPC and BNF advise considering reduction of sulfonylurea or insulin doses when initiating GLP-1 receptor agonists to minimise hypoglycaemia risk
Some redness and mild swelling may occur but typically subside within 24-48 hours
However, if youre going 4+ days without bowel movements, experiencing hard stools requiring straining, feeling bloated and uncomfortable, or experiencing abdominal pain, this indicates constipation requiring intervention
The World Obesity Federation, which evidently just got a million dollars from the Ozempic company, published a consensus statement in one of its journals favoring the definition of obesity as a disease
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At this time, patients should not panic, but they should be informed
