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Contact your GP or healthcare provider if you experience: Palpitations : Awareness of rapid, forceful, or irregular heartbeat, particularly if persistent or distressing Chest discomfort : Any chest pain, pressure, or tightness, especially with exertion Breathlessness : Unusual shortness of breath, particularly if worsening or occurring at rest Dizziness or lightheadedness : Especially if associated with near-fainting episodes Fatigue : Marked, unexplained tiredness that interferes with daily activities Persistent vomiting or diarrhoea : Which could lead to dehydration and kidney problems If you're unsure whether you need urgent care and cannot contact your GP, call NHS 111

and FDA Commissioner Marty Makary

NICE guidance recommends 1 mg hydroxocobalamin three times weekly for 2 weeks for patients without neurological symptoms, with lifelong maintenance therapy for irreversible causes

And when you stop, youre back to the same life with the same triggers

Of more note, a history of prior MBS versus GLP1RA treatment was independently associated with lower odds of postoperative complications, extended LOS and readmission following a subsequent nonMBS general surgical procedure