Doctors can reduce doses, increase intervals, or change ingredients to ensure safety
Consultation with healthcare professionals remains essential for accurate diagnosis, appropriate treatment selection, and ongoing monitoring

When to seek medical advice : Patients should contact their GP or diabetes specialist nurse if they experience: Severe, persistent vomiting preventing adequate fluid intake (risk of dehydration and acute kidney injury) Severe abdominal pain, particularly if radiating to the back (potential pancreatitisrare but serious) Right upper abdominal pain, fever, or yellowing of skin/eyes (potential gallbladder disease) Sudden vision changes (particularly with semaglutide, which may worsen diabetic retinopathy, especially with rapid HbA1c reduction) [40] [41] Signs of hypoglycaemia when used with insulin or sulphonylureas Allergic reactions (rash, difficulty breathing, facial swelling)call 999 or go to A&E for severe allergic reactions Patients should report suspected side effects via the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk or the Yellow Card app)

The catheter (Flowonix) implantation procedure through the right frontal horn into the third ventricle was performed by the neurosurgical team, with stereotactic placement of the catheter guided by Renishaws Neuro Mate robot