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Contact your GP or prescribing clinician if you experience: Persistent or severe nausea and vomiting that prevents adequate fluid or food intake, as this may lead to dehydration Signs of dehydration , including dark urine, dizziness, dry mouth, or reduced urination Severe or persistent abdominal pain , particularly if accompanied by vomiting, as this could indicate pancreatitis (a rare but serious side effect) Symptoms suggestive of gallbladder disease , such as pain in the upper right abdomen, fever, or jaundice (yellowing of skin or eyes) Unexplained rapid heart rate or palpitations Symptoms of hypoglycaemia (if taking Saxenda alongside other diabetes medications), including trembling, sweating, confusion, or difficulty concentrating Mood changes or thoughts of self-harm , as depression has been reported in some patients Seek immediate medical attention (call 999 or attend A&E) if you develop: Severe, persistent abdominal pain radiating to the back (possible pancreatitis) Signs of a severe allergic reaction, including difficulty breathing, swelling of face or throat, or widespread rash Inability to keep fluids down for 24 hours or signs of severe dehydration Patients should also inform their healthcare provider if gastrointestinal symptoms do not improve after several weeks of treatment or if they significantly impact quality of life

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