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Prioritizing the abdomen and rotating meticulously is especially important for Wegovy users
Tier 3 (same-day evaluation): Right-upper-quadrant pain radiating to the shoulder, severe abdominal pain, jaundice, signs of dehydration (orthostatic dizziness, dark urine, heart rate above 100 at rest), or inability to tolerate any oral fluids for 12 hours
This strict protocol is critical because globally, 10-15% of untreated cases lead to neuropathy within just six months
However, both therapies can increase hepatic workload, requiring baseline liver function assessment and periodic monitoring to ensure safety
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