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If symptoms persist beyond this adjustment period or affect daytime functioning, a clinician can review timing or dose progression to improve tolerance

For starters, many may prefer a daily pill over a weekly injection, either as a first-line treatment or as maintenance therapy

Patients should be instructed to seek immediate medical attention for red-flag symptoms including intractable vomiting, severe dehydration, acute abdominal pain, gastrointestinal bleeding, or recurrent hypoglycemia, which may indicate surgical complications requiring urgent evaluation by the bariatric surgery team

Book Your Consultation Phone: 0207 993 4849 9597 Baker Street, Marylebone, London W1U 6RN Contact us to schedule your consultation Your initial in-person consultation is 100, redeemable against the cost of surgery if you proceed