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Call your provider or get emergency medical help if you notice any of the following: Problems with your thyroid, like a mass in your neck, hoarseness or problems breathing or swallowing Stomach pain that wont go away or serious vomiting that doesnt stop Changes in urination, swollen feet or ankles, muscle cramping or blood in your urine Low blood sugar, which can include symptoms like sweating, shaking, dizziness, confusion or blurred vision Pain in your upper stomach along with a fever, yellowing of the whites of your eyes or changes in the color of your poop Serious allergic reactions, like trouble breathing, hives, itching or swelling in your face or throat *Wegovy is a registered trademark of its respective owner

This kind of systemsbased approach is particularly important for patients who have plateaued on conventional diets or have complex conditions like prediabetes, fatty liver, or chronic fatigue

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Questions that did not achieve consensus were considered topics with uncertainty or candidate topics for future research