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If pancreatitis is suspected, stop taking Zepbound immediately and seek medical care Signs of severe dehydration, including extreme thirst, dark urine, dizziness, confusion, or decreased urination, especially after vomiting or diarrhea Symptoms of hypoglycemia such as shakiness, rapid heartbeat, sweating, confusion, or loss of consciousness Severe allergic reactions, including difficulty breathing, swelling of the face or throat, or severe rash Right upper abdominal pain, fever, or yellowing of skin/eyes, which could indicate gallbladder problems Contact your healthcare provider within 24 hours if you notice: Persistent nausea or vomiting that prevents you from keeping down fluids or medications (stop taking Zepbound until you can keep fluids down and contact your provider) Unusual changes in your response to alcohol New or worsening gastrointestinal symptoms after consuming alcohol Difficulty managing your weight loss program due to alcohol consumption Schedule a routine follow-up to discuss: Your alcohol consumption patterns and how they may affect your treatment goals Strategies for reducing alcohol intake if you're finding it difficult to limit consumption Any concerns about social situations where alcohol is present Adjustments to your treatment plan if alcohol consumption is interfering with your progress If you have diabetes, take additional precautions when consuming alcohol: monitor your blood glucose levels more frequently, don't drink on an empty stomach, and always carry fast-acting carbohydrates to treat potential hypoglycemia

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