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Adjunct work if indicated: coordination with another specialist, additional cognitive evaluation, or referrals when the clinical picture calls for it

Red flag symptoms requiring urgent medical attention include: Severe abdominal pain , particularly if constant, progressively worsening, or localized to a specific area Persistent vomiting lasting more than 24 hours or containing blood Signs of pancreatitis : severe upper abdominal pain radiating to the back, often accompanied by nausea and vomiting Right upper quadrant pain, fever, or yellowing of skin/eyes , which may indicate gallbladder disease (a known risk with GLP-1 RAs) [7] [11] Severe, persistent constipation with abdominal distension and vomiting , which could suggest ileus (intestinal obstruction) Inability to pass gas or stool , severe bloating, cramping pain Unexplained weight loss beyond expected therapeutic effects Difficulty swallowing or sensation of food getting stuck Black, tarry stools or blood in stool , which may indicate gastrointestinal bleeding Call 911 or seek emergency care for severe, worsening abdominal pain, signs of gastrointestinal bleeding, or inability to keep fluids down for more than 24 hours with signs of dehydration

Glutathione: brightens skin, promotes collagen, detoxifies liver, and strengthens hair, skin, and nails

Despus de iniciar el tratamiento, deberas empezar a sentir ms saciedad despus de comer a partir de la segunda o tercera dosis