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After you have removed the needle, place the pen cap back on your pen

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You should contact your GP or healthcare provider if you experience: Persistent vomiting lasting more than 2448 hours, or vomiting that prevents you from keeping down fluids or medications Signs of dehydration , including dark urine, dizziness when standing, dry mouth, reduced urination, or confusion Severe abdominal pain , particularly if constant or accompanied by fever, as this may indicate pancreatitis (a rare but serious side effect) Vomiting blood or material that looks like coffee grounds Inability to tolerate any food or fluids for more than 24 hours Symptoms of hypoglycaemia (low blood sugar) if you also take insulin or sulphonylureas, including trembling, sweating, confusion, or rapid heartbeat Seek emergency care (call 999 or go to A&E) if you have severe abdominal pain, are vomiting blood, have signs of severe dehydration, or are experiencing symptoms of pancreatitis

Ethics statement The studies involving human participants were reviewed and approved by IRB-20220254-R