If you have diabetes and monitor your blood glucose, check your levels when experiencing these symptoms Gastrointestinal side effects (nausea, vomiting, diarrhoea, constipation) are severe or persistent, as these may require dose adjustment or additional management strategies Signs of pancreatitis develop, including severe, persistent abdominal pain radiating to the back, as this is a rare but serious adverse effect requiring immediate medical attention Upper-right abdominal pain occurs, which could indicate gallbladder diseasea known complication associated with GLP-1 receptor agonists and rapid weight loss Unexplained symptoms such as extreme fatigue, cold intolerance, or mood changes occur, which might indicate thyroid dysfunction or other metabolic issues affecting hunger Your healthcare provider may need to: Review your current dose and titration schedule Assess for potential drug interactions or contraindications Screen for underlying conditions affecting appetite (thyroid disorders, diabetes, depression) Evaluate your dietary intake and eating patterns Consider whether Wegovy remains the most appropriate treatment option Discuss combination approaches or alternative weight management strategies NICE guidance (TA875) recommends discontinuing GLP-1 receptor agonists for weight management if less than 5% weight loss is achieved after 6 months at the therapeutic dose, unless there are other clinical benefits
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If symptoms are temporally related to semaglutide and persist despite optimization of other factors, healthcare providers may consider dose reduction, temporary treatment interruption, or transition to alternative glucose-lowering therapies
Semaglutide titration: 0.25mg to 2.4mg The semaglutide titration schedule moves through five dose levels over approximately 16-20 weeks: Weeks 1-4: 0.25mg weekly Weeks 5-8: 0.5mg weekly Weeks 9-12: 1.0mg weekly Weeks 13-16: 1.7mg weekly Week 17 onward: 2.4mg weekly (maintenance dose) Each increase happens monthly
Semaglutide and Pregnancy: A Hard Stop Semaglutide must be discontinued at least 2 months before a planned pregnancy attempt
Semaglutide may help lower stress levels in an indirect way
