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Contact your GP, trial clinician, or NHS 111 promptly if you experience: Diarrhoea lasting more than 4872 hours without improvement Signs of dehydration , including dark urine, dizziness, dry mouth, or reduced urination Blood in the stool or very dark, tarry stools Severe or persistent abdominal pain, particularly pain radiating to the back, which may rarely indicate pancreatitis a recognised caution across the incretin drug class [5] [6] Severe abdominal pain or cramping accompanied by fever Diarrhoea combined with persistent vomiting , which significantly increases dehydration risk Symptoms that are interfering with daily activities or sleep Seek urgent medical attention (A&E or call 999) if: You are unable to keep any fluids down for more than 24 hours You feel faint, confused, or have a rapid heart rate alongside diarrhoea You develop signs of a severe allergic reaction (rash, swelling, difficulty breathing) If you are unsure whether your symptoms require urgent attention, call NHS 111 for advice at any time

Amy Nunn, executive director of the Rhode Island Public Health Institute and a professor at Brown Universitys School of Public Health

As IGF-1 rises in response to increased GH, skin density improves and the hair cycle can normalize

What makes the difference is the speed and scale of weight loss