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In some cases, the hospital may also be held responsible depending on employment relationships and supervision

This cost gap has spurred interest in compounded or direct-to-consumer versions, which are not FDA-approved and may pose safety concerns

However, regular liver function monitoring is recommended during treatment

Seek immediate medical attention (A&E or call 999) if you develop: Severe, persistent vomiting preventing fluid intake for more than 24 hours Signs of severe dehydration: Confusion, extreme weakness, minimal urine output, or collapse Severe abdominal pain, particularly if accompanied by fever or vomiting Symptoms of pancreatitis: Severe upper abdominal pain radiating to the back, nausea, and vomiting (a rare but serious risk with GLP-1 receptor agonists) Patients should maintain open communication with their diabetes care team regarding any concerning symptoms