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Compounded vials may use different diluents or pH adjusters, which can influence comfort at injection and stability in storage

When to seek medical help: Call 999 immediately if dizziness is accompanied by signs of stroke (facial drooping, arm weakness, speech difficulties), severe chest pain, severe shortness of breath, or collapse Contact your GP urgently or call NHS 111 if: Dizziness is severe, persistent, or worsening You experience fainting or near-fainting episodes Dizziness is accompanied by palpitations or visual disturbances You have recurrent episodes that interfere with daily activities You suspect hypoglycaemia but symptoms do not resolve with carbohydrate intake Your clinician may recommend: Temporarily reducing the dose or pausing treatment Reviewing concurrent medications that may contribute to dizziness Investigating underlying causes through blood pressure monitoring, ECG, or blood tests Adjusting the rate of dose escalation Switching to an alternative weight management strategy if symptoms persist Do not stop your medication without medical advice unless you suspect a severe reaction, in which case stop and seek urgent medical help

These bloated cells become resistant to insulin, which helps break down glucose, and trigger inflammation that can cause tissue damage

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Cardiovascular safety checked out, and there were no liver-related concerns flagged
