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When to seek medical help: Call 999 immediately if dizziness is accompanied by signs of stroke (facial drooping, arm weakness, speech difficulties), severe chest pain, severe shortness of breath, or collapse Contact your GP urgently or call NHS 111 if: Dizziness is severe, persistent, or worsening You experience fainting or near-fainting episodes Dizziness is accompanied by palpitations or visual disturbances You have recurrent episodes that interfere with daily activities You suspect hypoglycaemia but symptoms do not resolve with carbohydrate intake Your clinician may recommend: Temporarily reducing the dose or pausing treatment Reviewing concurrent medications that may contribute to dizziness Investigating underlying causes through blood pressure monitoring, ECG, or blood tests Adjusting the rate of dose escalation Switching to an alternative weight management strategy if symptoms persist Do not stop your medication without medical advice unless you suspect a severe reaction, in which case stop and seek urgent medical help

2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society

doi: 10.3390/molecules28134984 171 MaMFuTWangYZhangAGaoPShangQet al

Picking the volume that makes the dose hit 10 / 20 / 25 / 50 units removes a class of arithmetic errors

If you look at it scientifically, we are actually evolutionarily primed for comparing our skills, he replied