When to seek further advice Contact your GP or prescribing clinician if you: Experience severe or persistent nausea, vomiting, or abdominal pain Develop symptoms consistent with pancreatitis: severe upper abdominal pain radiating to the back, particularly after eating Notice signs of hypoglycaemia (shakiness, sweating, confusion) if you're also taking insulin or sulfonylureas Are concerned about rapid muscle loss or persistent fatigue during treatment Have purchased or used unlicensed peptide products and are experiencing adverse effects - seek medical advice without delay A full list of known side effects and drug interactions is available in the patient information leaflet supplied with your medication
PMC 1932381
Diabetes Care 37 , 20242027 (2014)
Bacterial translocation, gut dysbiosis and the gutimmunebrain axis In 2008, it was demonstrated that MDD is associated with increased bacterial translocation of gram-negative bacteria, including Pseudomonas putida, Pseudomonas aeruginosa, Citrobacter koseri, Klebsiella pneumoniae, Morganella morganii , and Hafnia alvei [179]
