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Risks, Side Effects, and What Honest Prescribing Looks Like Common and Expected Side Effects Nausea, vomiting, diarrhea, constipation most common, especially during dose titration Gastric emptying delay with gastroparesis-like symptoms clinically significant for patients on structured meal plans Fatigue, particularly early in treatment Hair thinning with higher doses or prolonged caloric restriction Dehydration secondary to gastrointestinal effects Serious but Less Common Risks Acute pancreatitis requires immediate cessation and medical management Gallbladder disease increased incidence with rapid weight loss Thyroid C-cell tumor risk observed in animal studies

Because once the dose is injected, you cant undo it

Patients prescribed Rybelsus in combination with sulphonylureas or insulin should receive individualised counselling about hypoglycaemia recognition, prevention strategies, and the importance of regular blood glucose monitoring

Joyce AP, et al

Deciding whether to continue Wegovy long term requires balancing the benefits of ongoing medication use with personal preferences and circumstances