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Contact your GP or diabetes specialist if you experience : Persistent vomiting that prevents you from keeping down food, fluids, or other medications for more than 24 hours Signs of dehydration , including dark urine, dizziness, extreme thirst, dry mouth, or reduced urination Abdominal pain , particularly if constant, sharp, or radiating to your back (potential pancreatitis) Nausea that significantly worsens rather than improves over time Inability to maintain adequate nutrition or unintended weight loss exceeding clinical targets Symptoms of hypoglycaemia (low blood sugar) if taking Ozempic alongside insulin or sulphonylureasshakiness, confusion, sweating, rapid heartbeat [1] [4] Right upper abdominal pain, fever, or yellowing of skin/eyes , which could indicate gallbladder disease (a known risk with GLP-1 receptor agonists) Seek immediate medical attention (call 999 or attend A&E) if you develop : Severe, persistent abdominal pain with vomiting (possible pancreatitis) Signs of allergic reactionfacial swelling, difficulty breathing, severe rash Symptoms of diabetic ketoacidosisexcessive thirst, frequent urination, confusion, fruity-smelling breath (particularly relevant if you use insulin or during intercurrent illness

Dehydration and electrolyte loss

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Patient safety advice : If you experience persistent or severe abdominal pain (with or without vomiting), seek urgent medical attention and withhold further doses until assessed by a healthcare professional, as these symptoms may indicate pancreatitis

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