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This is why the 3-month cycle framework exists and why a single injection produces minimal results compared to a structured protocol

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Seek medical advice if you experience: Severe pain that worsens rather than improves Spreading redness that continues to expand Warmth, pus, or discharge suggesting infection Systemic symptoms such as fever or malaise Persistent nodules or lumps that do not resolve Call 999 immediately if you develop signs of a serious allergic reaction such as swelling of the face, lips or tongue, difficulty breathing, or widespread rash

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Immediate medical attention is necessary if patients experience: Persistent vomiting lasting more than 24 hours or inability to keep down any fluids Signs of dehydration , including decreased urination, dark urine, dizziness, dry mouth, or confusion Severe abdominal pain , particularly if constant, sharp, or radiating to the back (potential pancreatitis) Vomiting blood or material that looks like coffee grounds Signs of gastroparesis , such as feeling full after eating very small amounts, severe bloating, or vomiting undigested food hours after eating Right upper quadrant pain, fever, or yellowing of skin/eyes , which may indicate gallbladder disease (a known risk with GLP-1 receptor agonists) [7] [8] Patients should contact their healthcare provider within 24-48 hours if they experience moderate vomiting that interferes with daily activities, prevents adequate nutrition or medication intake, or does not improve with conservative measures