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Description
Contact your GP or diabetes care team if you experience: Persistent nausea or vomiting lasting more than 48 hours, or vomiting that prevents you from keeping down fluids or medications Severe or worsening constipation that does not improve with over-the-counter laxatives or dietary measures within a few days Moderate abdominal pain that is new, persistent, or progressively worsening Signs of dehydration , including reduced urination, dizziness, dry mouth, or feeling faint Unexplained weight loss beyond expected therapeutic effect, or inability to maintain adequate nutrition Seek urgent medical attention (A&E or call 999) if you develop: Severe, unrelenting abdominal pain , particularly if accompanied by a rigid, distended abdomen Persistent vomiting with inability to tolerate any oral intake Complete inability to pass stools or wind for more than 24 hours, especially with abdominal distension Vomiting blood or passing black, tarry stools (melaena), which may indicate gastrointestinal bleeding Fever with abdominal pain , which could suggest perforation or infection In England, NHS 111 can provide urgent non-emergency advice if you're unsure about the severity of your symptoms

Distinguishing medication-induced diarrhea from colitis flare can be challenging

Abstract Background Renin-angiotensin system inhibitors (RASi) and sodium glucose cotransporter inhibitors (SGLT2i) are known for their kidney protective properties, but both show significant residual risk in large outcome trials

miR-195 reduces age-related blood-brain barrier leakage caused by thrombospondin-1-mediated selective autophagy

Not recommended for patients with severe GI disease (not studied)

Patients with multiple high-risk variants often see better long-term outcomes with extended GLP-1 use, while those with fewer genetic risk factors may achieve durable results with temporary treatment plus lifestyle modification
