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Seek urgent medical attention (contact 999 or attend A&E) if you experience: Severe, sudden abdominal or pelvic pain particularly if accompanied by nausea, vomiting, or fever, which could indicate ovarian torsion, cyst rupture, or other acute abdominal emergencies Severe, persistent upper abdominal pain radiating to the back, potentially indicating pancreatitis Signs of allergic reaction facial swelling, difficulty breathing, or widespread rash Symptoms of gallbladder inflammation severe right upper abdominal pain, particularly after eating, with fever or jaundice Contact your GP or prescribing clinician within 2448 hours if you notice: New or worsening pelvic pain or pressure that persists beyond a few days Significant changes in menstrual patterns particularly irregular bleeding, unusually heavy periods, or amenorrhoea (absence of periods) Persistent bloating or abdominal distension that is new or progressive Unexplained weight gain despite taking Wegovy, or inability to lose weight as expected Persistent gastrointestinal symptoms that interfere with daily activities or nutrition Signs of dehydration dark urine, dizziness, reduced urinationparticularly if experiencing vomiting or diarrhoea If you become pregnant or suspect pregnancy stop Wegovy immediately and contact your prescriber Routine monitoring recommendations include attending scheduled follow-up appointments with your prescribing clinician, typically every 36 months

In this case, taking Plaquenil may destroy red blood cells, which can lead to anemia

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Why is mass spectrometry important for GLP-1 biosimilars