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Signs of Major Bleeding While on a Blood Thinner Blood in urine, turning it a pink, red, or Coca-Cola brown color Blood in stool, making it either bright red or black and sticky (tarry) Coughing up red or brown-tinged sputum Vomiting up anything that looks like coffee grinds (always alarming!) Its always useful to have The Chat with new blood thinner patients

Serious but rare risks include pancreatitis and thyroid concerns

Patients may need a more careful discussion if they have a history of: Previous NAION in one eye Significant optic nerve crowding Diabetes with vascular complications Sleep apnea, especially untreated sleep apnea High blood pressure or low nighttime blood pressure Cardiovascular disease Sudden unexplained vision loss in the past This does not automatically mean a GLP-1 medication is unsafe, but it does mean the patient should have a personalized risk-benefit discussion with their medical provider

Its important to keep the needle sterile, so do not touch it