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if confirmed, the medication should not be restarted) [1] You develop right-upper abdominal pain, jaundice (yellowing of skin/eyes), pale stools or dark urine (possible gallbladder disease) You develop chest pain, severe breathlessness, or signs of allergic reaction Joint pain follows trauma or injury with suspected fracture Your healthcare provider may undertake investigations including blood tests (inflammatory markers, rheumatoid factor, uric acid), X-rays, or referral to rheumatology if inflammatory arthritis is suspected

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Common red flags: Persistent fatigue Hair thinning beyond expected telogen shift Neuropathy or tingling Muscle weakness Persistent vomiting or diarrhoea If YES Laboratory assessment appropriate If NO Continue structured dietary strategy Step 5: Are High-Risk Factors Present

In contrast to Ozempic, berberine does not slow down GI motility