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Our approach focuses on personalized care that acknowledges both the benefits of these medications and the importance of maintaining functional muscle mass throughout your weight management journeyespecially for preventing and managing musculoskeletal issues like back pain and lower extremity conditions including hip and knee osteoarthritis

Physician-Led Care You will meet with a licensed physician or nurse practitioner who evaluates your health history, labs, and goals before building your plan

They may suggest lowering your dose, remaining on a lower dose longer, or considering an alternative weight loss treatment

You should contact your GP or healthcare provider if you experience: Persistent green stools lasting more than a week without obvious dietary explanation Black, tarry stools (melaena), which may indicate upper gastrointestinal bleeding Bright red blood in stools (haematochezia) or on toilet paper Pale, clay-coloured, or white stools , which could suggest bile duct obstruction or liver problems Diarrhoea lasting more than 48 hours , particularly if accompanied by dehydration symptoms Severe abdominal pain , especially if localised to the upper abdomen and radiating to the back, which could indicate pancreatitis (a rare but serious side effect of GLP-1 receptor agonists) Right upper quadrant pain , particularly after fatty meals, which may suggest gallbladder problems Yellowing of the skin or eyes (jaundice) with dark urine, which could indicate liver or gallbladder issues Signs of dehydration: excessive thirst, dark urine, dizziness, reduced urination, or dry mouth Persistent vomiting preventing adequate fluid or medication intake Unexplained weight loss beyond expected therapeutic effects Fever accompanying stool changes , suggesting possible infection For urgent but non-emergency concerns, contact NHS 111

Frequently Asked Questions Does a 17-year-old need more than a high BMI to qualify for GLP-1 therapy