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Red flag symptoms that necessitate same-day medical contact include: Blood in stools (visible red blood or black, tarry stools) Severe abdominal pain that is persistent, severe, or radiating to the back (which may indicate pancreatitis, a rare but serious side effect) Signs of dehydration : decreased urination, dark urine, dizziness upon standing, extreme thirst, or confusion Fever above 100.4F (38C) accompanying diarrhea Pain in the upper right abdomen , possibly with fever or yellowing of skin/eyes (signs of gallbladder disease, which can occur with GLP-1 medications) Inability to keep down fluids due to concurrent vomiting If you experience severe vomiting or diarrhea leading to dehydration, you may need to temporarily pause your medication until speaking with your healthcare provider, as severe dehydration can lead to acute kidney injury

J Physiol Paris 87:313327 Sikiric P, Seiwerth S, Grabarevic Z et al (1997) The influence of a novel pentadecapeptide, BPC 157, on N(G)-nitro-l-arginine methylester and l-arginine effects on stomach mucosa integrity and blood pressure

In: Howard R, Kullmann D, Werring D, Zandi M (eds) Neurology: A Queen Square Textbook, 3rd edn

Drug-induced Chronic Liver Injury

Many chronic conditions require an intense period of treatment for the first 1-2 months, during which you may need several treatments per week to start, and then they become more spaced out and then followed by maintenance therapy 1-4 times/month

Sci Rep 16 , 19516 (2026)