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The American Academy of Pediatrics sounded an alarm with new guidelines in 2023 with more forceful recommendations than ever, including recommending new weight loss drugs for older kids with severe obesity

We recommend three actions that could improve the efficiency of current spending

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Turn the entire unit (bottle and dispenser) upside down (see Figure 4)

Patients who are overweight and have weight-related health concerns may also be considered for treatment depending on provider assessment

Seek urgent medical attention (contact 999, NHS 111, or attend A&E) if you experience: Black, tarry stools (melaena) may indicate upper gastrointestinal bleeding Bright red blood in or on stools, particularly if accompanied by dizziness, weakness, or rapid heartbeat Pale or clay-coloured stools with yellowing of skin or eyes (jaundice) potential biliary obstruction or liver dysfunction Severe abdominal pain with stool changes, especially if persistent or worsening Stop your GLP-1 medication and seek urgent medical assessment if you develop symptoms suggestive of pancreatitis (severe, persistent abdominal pain which may radiate to your back, with or without vomiting)