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Specific warning signs warrant different levels of medical attention: Seek emergency care (call 911 or go to the emergency department) for: Sudden onset of severe pain that differs from previous experiences Pain accompanied by significant weakness, numbness, or loss of sensation Severe abdominal pain, especially if radiating to the back (possible pancreatitis) Severe right upper quadrant abdominal pain (possible gallbladder disease) Signs of severe allergic reaction (difficulty breathing, severe rash, swelling) Contact your doctor promptly (within 24-48 hours) for: Burning, tingling, or electric shock-like sensations in hands or feet Pain triggered by normally non-painful stimuli (potential allodynia) Pain associated with changes in vision, balance problems, or coordination difficulties New symmetrical symptoms in both hands or feet Patients should provide their physician with detailed information about pain characteristics, including onset timing relative to semaglutide initiation, location, quality (burning, stabbing, aching), severity on a 0-10 scale, aggravating and relieving factors, and any associated symptoms

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Important gaps include independent replication, validated potency methods, long-term toxicology, interaction data, broader population research, and adequately powered confirmatory trials

doi: 10.1016/j.ijrobp.2011.05.043 3 TsaiRJDennisLKLynchCFSnetselaarLGZambaGKScott-ConnerC