When to Seek Advice Contact your GP or diabetes specialist nurse if you experience: Persistent nausea or vomiting that prevents adequate fluid intake (risk of dehydration) Severe, persistent abdominal pain stop taking the medication and seek urgent medical attention as this could indicate pancreatitis Symptoms of hypoglycaemia if taking alongside insulin or sulfonylureas Severe abdominal pain radiating to the back, with or without fever or jaundice (yellowing of skin/eyes) may indicate gallbladder problems Unexplained weight loss or gain outside expected parameters If you're planning pregnancy, discuss with your healthcare provider
They are not recommended during breast-feeding
The medication reduces systolic blood pressure, which is the top number in your reading
A practical goal for many people is around 20 to 30 grams of protein per meal , though total needs vary based on body size, age, and activity level
If you reach the end of week eight and are still experiencing daily nausea at the 4mg dose, staying at 4mg for an additional two to four weeks until your GI system stabilizes is a rational, evidence-supported choice
