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Do not use if you have primary systemic L-carnitine deficiency or secondary L-carnitine deficiency (inborn errors of metabolism) for which levocarnitine supplementation is prescribed and/or monitored by a healthcare practitioner

When seeking emergency care or attending A&E , patients should inform healthcare providers about their Ozempic use, particularly if presenting with: Severe abdominal pain (potential pancreatitis) Persistent vomiting or diarrhoea (dehydration risk) Symptoms of hypoglycaemia (if taking other diabetes medications) Right upper quadrant pain or fever (potential gallbladder disease) Pharmacists should be informed when collecting prescriptions or purchasing over-the-counter medications, as some drugs may interact with Ozempic or affect diabetes control

Medical nutrition therapy interventions provided by dietitians for adult overweight and obesity management: an academy of nutrition and dietetics Evidence-Based practice guideline