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You should arrange an appointment to discuss Ozempic if you experience: Difficulty achieving glycaemic targets despite current diabetes treatment Concerns about weight gain associated with other diabetes medications Cardiovascular risk factors that might benefit from GLP-1 receptor agonist therapy Questions about managing both your thyroid condition and diabetes effectively If you're primarily concerned about weight management rather than diabetes control, discuss with your GP whether referral to a specialist weight management service might be appropriate, where higher-dose semaglutide (Wegovy) may be considered according to NICE guidance (TA875)