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When to Contact a Healthcare Professional You should seek medical guidance if you notice: Ongoing or worsening vomiting or diarrhea Dehydration signs like dizziness or reduced urination Severe stomach pain Signs of an allergic reaction Symptoms of pancreatitis or gallbladder issues Early communication helps clinicians decide whether to adjust the dose or change the treatment plan

If you do get anxiety or unpleasant palpitations you can always drop the dose or stop it, and switch to tirz instead, which also increases heart rate but less than reta

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A clinician can review medical history, current medications, and overall treatment goals