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Cardiovascular risk reduction usually requires a broader plan, which may include: stopping smoking blood pressure control cholesterol management diabetes or pre-diabetes management physical activity appropriate to the persons health status diet and weight management support taking prescribed cardiovascular medicines correctly attending follow-up appointments and monitoring When to speak to a pharmacist or GP Speak to a pharmacist, GP or prescribing clinician if: you have heart disease and want to understand whether Wegovy may be suitable you have had a heart attack, stroke or peripheral arterial disease and are living with overweight or obesity you are taking insulin, sulfonylureas, blood pressure medicines, anticoagulants or other long-term medicines you are getting persistent nausea, vomiting, diarrhoea or constipation you are struggling to eat or drink enough you have symptoms of dehydration, such as dizziness, reduced urination or feeling unusually weak you notice changes in vision, especially if you have diabetes you are due to have surgery or an endoscopy under anaesthesia or sedation you are pregnant, breastfeeding or planning pregnancy you are unsure how to use the pen, store it or dispose of needles safely Seek urgent medical help for severe allergic symptoms, severe persistent abdominal pain, symptoms of pancreatitis, or symptoms that could suggest a heart attack or stroke

Exercise benefits extend beyond improvements in liver outcomes, and have been shown to provide cardiovascular benefits, which is important as cardiovascular disease is a leading cause of death in this population

Changing everything at once When side effects are bad, the temptation is to change injection time, injection day, meal timing, and exercise schedule simultaneously

Allergy warning: Contains milk and soya

While not expected based on current data, it remains a possibility

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