Call NHS 111 or attend A&E immediately if you experience: Inability to pass urine (urinary retention) Severe reduction in urine output Signs of sepsis (high fever, rigors, confusion) with urinary symptoms Severe dehydration (extreme thirst, dizziness, confusion, very dark urine) Contact your GP urgently (within 2448 hours) if you experience: Sudden onset of excessive thirst and urination particularly if accompanied by unexplained weight loss, fatigue, or blurred vision, as these may indicate hyperglycaemia or diabetes Painful urination with fever suggesting possible pyelonephritis (kidney infection) requiring antibiotic treatment Visible blood in urine which requires investigation according to NICE guidelines to exclude malignancy, stones, or infection Significant nocturia (waking 3 times nightly) that impairs quality of life Patients should seek routine GP review (within 12 weeks) for: Persistent increased urination beyond the first month of treatment without improvement Urinary frequency significantly impacting daily activities or work Signs of possible urinary tract infection (urgency, frequency, suprapubic discomfort) Concerns about fluid balance or dehydration despite adequate intake New urinary incontinence or worsening of pre-existing incontinence Before the appointment, patients should prepare by: Completing a bladder diary for at least 3 days Noting all medications and supplements Recording weight changes since starting Saxenda Listing all urinary and systemic symptoms Investigations the GP may arrange include urinalysis (dipstick testing for infection, glucose, protein, blood), urine culture if infection is suspected, blood tests (renal function, HbA1c, electrolytes), and potentially a pregnancy test for people of childbearing potential
Ottman N et al
These properties contribute to enhanced tear film stability and reduced ocular surface inflammation in DED models
In some cases especially when hormones like IGF-1 are involved prescription medications that reduce oil production or block androgen receptors may help
