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Contact your provider if you observe: Resting heart rate consistently above 100 BPM An increase of 10 bpm or more from your baseline that persists New or worsening: Palpitations Chest discomfort Dizziness Shortness of breath What To Tell Your Prescriber Before Beginning Treatment People with the following conditions should notify their prescriber before starting semaglutide: Tell your clinician about any history of: Heart disease Heart failure Arrhythmia Fainting Thyroid cancer Pancreatitis Digestive motility problems Kidney disease Eye disease All current medications and supplements Also mention lifestyle factors like caffeine and stimulant use
The contraindications relate to both the semaglutide and cyanocobalamin components, and careful consideration must be given to each ingredients specific safety profile and potential risks
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