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Signals are compelling enough to demand conversation and monitoring, even if definitive rules are not established

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Using Ozempic after gastric bypass is not contraindicated in the UK, but requires careful clinical assessment, individualised prescribing, and close monitoring by a multidisciplinary team including bariatric surgeons, endocrinologists, dietitians, and GPs

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Rare side effects are hypoglycemia, pancreatitis, diabetic retinopathy, gall bladder problems, gastroparesis (due to slowed gastric emptying), and increased risk of aspiration during sedation and anesthesia