When to Consult Your Healthcare Provider Seek immediate medical attention if you experience any of the following whilst taking berberine and Saxenda together: Severe hypoglycaemia : confusion, loss of consciousness, inability to treat yourself Severe gastrointestinal symptoms : persistent vomiting, severe diarrhoea lasting more than 24 hours, signs of dehydration (reduced urination, extreme thirst, dry mouth) Allergic reactions : rash, itching, swelling of the face or throat, difficulty breathing Symptoms of pancreatitis : severe, persistent abdominal pain that may radiate to the back, often accompanied by nausea and vomiting Gallbladder problems : severe pain in the upper right side of your abdomen, fever, yellowing of the skin or eyes (jaundice) Severe cardiovascular symptoms : chest pain, severe palpitations, fainting For mild hypoglycaemia symptoms (trembling, sweating, hunger, dizziness), take a fast-acting carbohydrate (e.g., glucose tablets, fruit juice), check your blood glucose if possible, and seek medical help if symptoms don't improve or recur

Kristyn Gumpper-Fedus, PhD, for refining a draft of the Figure into its final form
Sobia Sadiq, triple board-certified in Internal Medicine, Endocrinology, and Obesity Medicine, and I have been prescribing GLP-1 medications for over a decade
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