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Discuss lifestyle interventions first and frame medications as adjuncts

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Patients taking Ozempic should be vigilant for the following signs: Biliary colic is the hallmark symptom, characterised by: Sudden, severe pain in the right upper quadrant or epigastrium Pain that may radiate to the right shoulder or back (particularly between the shoulder blades) Episodes typically lasting 30 minutes to several hours Pain often triggered by fatty meals , though it can occur spontaneously Associated nausea and vomiting Acute cholecystitis (gallbladder inflammation) presents with more persistent symptoms: Continuous right upper quadrant pain lasting more than 6 hours Fever and rigors indicating infection Tenderness on examination (Murphy's sign) Jaundice (yellowing of skin and eyes), dark urine, and pale stools if bile duct obstruction occurs More serious complications, though less common, include ascending cholangitis (bile duct infection) and pancreatitis (inflammation of the pancreas), both of which constitute medical emergencies

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