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At Big Apple Medical Care, our experienced providers: Evaluate your overall health before starting treatment Ensure the injection is safe and appropriate for you Monitor your progress and make necessary adjustments Provide ongoing support to help you stay motivated This level of care significantly reduces risks and improves long-term success rates

[12] People with Crohn's disease, especially those with ileal involvement, may already have a higher baseline risk of gallstone formation [21] [22] Dehydration and acute kidney injury : Persistent vomiting or diarrhoea can lead to dehydration, particularly in vulnerable patients Bowel obstruction : For individuals with Crohn's disease, especially those with known strictures, the risk of obstruction may theoretically be increased due to the medication's effect on gastrointestinal motility Practical strategies to minimise side effects include: Starting with a low dose and gradually increasing as tolerated Eating smaller, lower-fat meals and avoiding overeating Maintaining adequate hydration Temporarily pausing dose escalation if symptoms become intolerable Patients should be advised to contact their GP or specialist immediately if they experience: Severe, persistent abdominal pain (especially if radiating to the back) Persistent vomiting preventing adequate fluid intake Signs of dehydration Blood in stools or black, tarry stools Symptoms suggesting bowel obstruction (severe cramping, inability to pass stool or gas, abdominal distension) Suspected adverse reactions should be reported via the Yellow Card Scheme (yellowcard.mhra.gov.uk or the Yellow Card app)

Matthews SB, Waud JP, Roberts AG, Campbell AK.Systemic lactose intolerance: a new perspective on an old problem

Patients experiencing Ozempic face or any other unexpected side effect of medication should inform their healthcare providers promptly

These issues can lead to adverse events or a complete lack of therapeutic effect