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When to seek medical advice: Severe pain, swelling, or signs of infection at injection sites Allergic symptoms (rash, difficulty breathing, facial swelling) Unexplained fatigue, jaundice, or dark urine Any concerning symptoms following injection Patients should always disclose use of lipotropic injections to their GP, as this information may be relevant for diagnosis and management of other conditions

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Concomitant administration of NSAIDs with diuretics can also increase the risk for renal insufficiency secondary to decreased renal blood flow

There is no established incidence rate to report

It is still important for patients taking GLP-1 medication to limit muscle wasting through exercise and high quality protein. Losing muscle can lower metabolic rate and physical strength