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For severe allergic reactions (anaphylaxis): Emergency treatment includes: Intramuscular adrenaline (epinephrine) 500 micrograms (0.5ml of 1:1000) into the anterolateral thigh this is the first-line and most important treatment High-flow oxygen and airway management Intravenous fluids for circulatory support Antihistamines may be given for persistent skin symptoms but are not first-line treatment for anaphylaxis Hospital observation with duration based on risk assessment (minimum 2-6 hours for uncomplicated cases

Ozempic: Begin with 0.25 mg weekly for 4 weeks, then increase to 0.5 mg

In some cases, healthcare providers may consider delaying dose escalation to ensure optimal tolerance and minimize potential side effects during the initial phase of treatment

Those with existing liver conditions should have structured monitoring aligned with NICE guidance, including FIB-4 scoring and repeat liver function tests at intervals determined by their healthcare team