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If any of these elements are not available, the patient should be transferred without delay to a specialist center after stabilization according to basic life support (circulation, airway, and breathing), addressing vital signs as with any critically ill patient and including blood glucose monitoring

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The other wing is food and physical activity

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Since Zepbound can already cause gastrointestinal side effects like nausea or indigestion, avoiding NSAIDs like ibuprofen can help minimize further irritation