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Consider Alternatives If Who Should Avoid Do not use if Pregnant, breastfeeding, or planning to become pregnant You have a personal or family history of medullary thyroid carcinoma (MTC) You have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) You have severe gastroparesis or serious GI motility disorders You have an active eating disorder (anorexia, bulimia) You have had a severe allergic reaction to amylin analogs Use with caution if !You have a history of pancreatitis !You have gallbladder disease or history of gallstones !You have diabetic retinopathy !You are taking insulin or sulfonylureas (increased hypoglycemia risk) !You have significant kidney impairment !You have difficulty maintaining adequate nutrition Administration How do I use it
Bliv displays a LegitScript certification seal on its site and works with US-licensed clinicians and a US-based pharmacy
D., Wadden, T
When to seek medical advice : Patients should contact their GP or diabetes specialist nurse if they experience: Severe, persistent vomiting preventing adequate fluid intake (risk of dehydration and acute kidney injury) Severe abdominal pain, particularly if radiating to the back (potential pancreatitisrare but serious) Right upper abdominal pain, fever, or yellowing of skin/eyes (potential gallbladder disease) Sudden vision changes (particularly with semaglutide, which may worsen diabetic retinopathy, especially with rapid HbA1c reduction) [40] [41] Signs of hypoglycaemia when used with insulin or sulphonylureas Allergic reactions (rash, difficulty breathing, facial swelling)call 999 or go to A&E for severe allergic reactions Patients should report suspected side effects via the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk or the Yellow Card app)
Manohar SM
