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You should contact your healthcare professional if you experience any of the following: Severe or persistent side effects from Mounjaro, such as ongoing nausea, vomiting, or abdominal pain, which may indicate the need for dose adjustment before proceeding with cosmetic treatments Severe, persistent abdominal pain (with or without vomiting), which could suggest pancreatitis, a rare but serious side effect of Mounjaro [3] [5] Signs of gallbladder disease such as pain in the upper right abdomen, fever, or yellowing of the skin or eyes, as Mounjaro may increase the risk of gallstone formation [3] [22] Signs of infection at any injection site (Mounjaro or botulinum toxin), including increased redness, warmth, swelling, or discharge Unexpected symptoms following botulinum toxin treatment, such as difficulty swallowing, breathing problems, or muscle weakness beyond the intended treatment area Hypoglycaemia symptoms (if you have diabetes), particularly if you are also taking insulin or sulfonylureas alongside Mounjaro Any concerns about wound healing or bruising that seems excessive or prolonged Before your botulinum toxin appointment , ensure your aesthetic practitioner is aware you are taking Mounjaro and understands your medical history