Ensure early follow-up visits within weeks of starting GLP1s
Press and hold the dose button until the counter shows zero, then continue holding for at least six seconds before withdrawing the needle, as recommended in the PIL
adults have taken GLP-1 drugs like Wegovy and Ozempic for weight loss and related conditions
They will prescribe these medications if needed
Seek urgent medical attention (contact 999 or attend A&E) if you experience: Severe, persistent vomiting preventing fluid intake Signs of severe dehydration (extreme thirst, dark urine, dizziness, confusion) Severe abdominal pain, particularly if accompanied by fever Blood in vomit or stools Symptoms of pancreatitis (severe upper abdominal pain radiating to the back, nausea, vomiting) Sudden severe pain in the upper right abdomen, fever or jaundice (possible gallbladder disease) Contact your GP or diabetes care team within 2448 hours if you experience: Persistent diarrhoea lasting more than 48 hours Moderate dehydration symptoms (reduced urination, persistent thirst, fatigue) Worsening nausea or vomiting despite conservative measures Inability to maintain adequate nutrition or hydration Recurrent hypoglycaemia (if also taking insulin or sulfonylureas) Concerns about medication interactions or side effects Schedule a routine appointment to discuss: Whether magnesium supplementation is appropriate for your individual circumstances Alternative strategies for managing constipation if this is your primary concern Adjustment of your Mounjaro dose if gastrointestinal side effects are significantly impacting your quality of life Blood tests to check electrolyte levels and kidney function if you have been using both medications regularly Before starting magnesium citrate whilst taking Mounjaro, it is advisable to inform your prescribing clinician, particularly if you have pre-existing kidney disease, heart conditions, or other significant medical problems
doi: 10.1007/BF02898307 164 ShomeM.MacKenzieT
