More serious side effects can include problems with your pancreas or gallbladder
If required, gentle heating or sonication may be used to support dissolution
Following clinical assessment by one of our licensed providers, the following options may be recommended based on your individualized treatment plan

Alarm symptoms that warrant urgent medical attention include: Difficulty swallowing (dysphagia) or painful swallowing (odynophagia) Unexplained weight loss not attributable to the expected therapeutic effect of Zepbound Persistent vomiting, especially if containing blood or coffee-ground material Black, tarry stools or visible blood in stool (suggesting gastrointestinal bleeding) Severe chest pain that could indicate cardiac issues rather than reflux New or worsening symptoms of anemia (fatigue, pallor, shortness of breath) Severe, persistent abdominal pain, especially if radiating to the back (possible pancreatitis) Right upper quadrant pain, fever, or jaundice (possible gallbladder disease) These symptoms may indicate complications such as esophagitis, esophageal stricture, Barrett's esophagus, or other serious conditions requiring diagnostic evaluation

Variants in genes like GLP1R (rs6923761) and MC4R (rs17782313) influence how strongly you respond to GLP-1 therapy and how sensitive your digestive system may be to triggers like alcohol