Severe gastrointestinal side effects leading to dehydration can worsen kidney function
Your provider monitors your response throughout the protocol and will adjust dosing or schedule if needed

Seek medical advice if you experience: Severe or worsening cognitive symptoms that significantly impair your ability to work, drive safely, or perform daily activities Sudden onset of confusion or disorientation , particularly if accompanied by other neurological symptoms such as severe headache, visual changes, weakness, or speech difficultiesthese require urgent assessment to exclude serious conditions Suspected stroke symptoms (Face, Arms, Speech, Time or FAST): facial drooping, arm weakness, speech difficultiescall 999 or go to A&E immediately Symptoms of hypoglycaemia including shakiness, sweating, rapid heartbeat, confusion, or difficulty concentrating, especially if you take Mounjaro alongside insulin or sulphonylureas Signs of severe dehydration such as dizziness, reduced urination, extreme thirst, or confusion, which may result from persistent vomiting or diarrhoea Persistent symptoms that do not improve after several weeks, despite implementing lifestyle modifications and allowing time for medication adjustment Your healthcare provider can conduct a comprehensive assessment to determine whether cognitive symptoms relate to Mounjaro, underlying diabetes control, nutritional deficiencies, concurrent medications, or other medical conditions

Confirm on the brand's own site exactly which product any plan provides
Personally, I wouldnt start on anything over 0.50 mg/week as a beginner
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