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Patients should be counseled to stop the medication and seek immediate medical attention for severe, persistent abdominal pain that may radiate to the back
While this interaction primarily affects dietary B12 absorption rather than injected cyanocobalamin, patients on long-term acid suppression therapy may have depleted B12 stores that require consideration when initiating treatment
Patients with pre-existing reflux disease should ensure their condition is well-managed before starting Wegovy, following NICE guidance on GORD management including appropriate proton pump inhibitor therapy and lifestyle modifications
My weight has fluctuated a lot throughout my adulthood, says Rosas, now 36
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