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Hypoglycaemia represents another important concern, particularly in patients taking Ozempic alongside other glucose-lowering medications such as sulphonylureas or insulin

Victoza for type 2 diabetes) Availability of these treatments depends on local formulary decisions, NHS service pathways, and eligibility criteria set out in relevant NICE Technology Appraisals

Management strategies include: Adequate hydration (GH-related fluid shifts increase water needs) Starting at a lower dose and titrating gradually Over-the-counter analgesics if needed Timing the injection consistently (typically 30 minutes before bedtime) Flushing or Warm Sensations Frequency: Occasional (reported in 5-10% of users) Severity: Mild Duration: Minutes after injection Some patients experience a brief sensation of warmth or facial flushing shortly after injection

They need to be activated at the start of each anagen phase