Consider the biosimilar situation
Archived from the original on 30 September 2022
Regular monitoring allows Dr

Contact your GP or prescribing clinician if you experience: Excessive or rapid weight loss exceeding 1.5 kg per week consistently, which may indicate inadequate caloric intake or other metabolic concerns Significant muscle weakness or functional impairment affecting daily activities, mobility, or balance Persistent fatigue, dizziness, or signs of malnutrition such as hair loss, brittle nails, or poor wound healing Gastrointestinal symptoms (severe nausea, vomiting, or diarrhoea) that prevent adequate nutritional intake or could lead to dehydration Psychological distress related to body image changes or disordered eating patterns Seek urgent medical attention via NHS 111 or A&E for: Severe, persistent abdominal pain (especially radiating to the back), which could indicate pancreatitis Yellowing of skin/eyes or severe right upper quadrant pain, which may suggest gallbladder problems (gallstones are more common during rapid weight loss) [15] [16] Signs of severe dehydration (extreme thirst, dizziness, confusion, dark urine) Severe hypoglycaemia symptoms (particularly if taking insulin or sulfonylureas) Sudden vision changes (especially important for patients with diabetes and pre-existing retinopathy) Specialist referrals may be appropriate in several scenarios

Additionally, stress is also linked to insomnia or insufficient sleep