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Serious but rare risks requiring immediate medical attention (call 999 or go to A&E if severe) include: Severe, persistent abdominal pain (potential pancreatitis) Signs of gallbladder problems (pain in upper right abdomen, fever, yellowing of skin or eyes) Chest pain, severe palpitations, or shortness of breath Severe mood changes or psychotic symptoms (more commonly associated with stimulants) Signs of severe dehydration or acute kidney injury Patients with pre-existing conditions require particular caution, including those with cardiovascular disease, history of pancreatitis, gallbladder disease, eating disorders, psychiatric conditions, or substance use history

Intestinal obstructions may also be referred to as bowel obstructions

Clinical trials demonstrate an average weight reduction of 15-20% over one year, surpassing the results achievable through diet and exercise alone

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Youre Still on a Low Dose: Appetite reduction may not be as pronounced if you are still on a lower dose, especially during the initial stages of treatment