Gradual dose escalation, dietary modifications, adequate hydration, and supportive supplements help significantly
The niacinamide is included for potential stabilization benefits and metabolic support, though clinical evidence for added efficacy is limited
If periods become heavier , discuss with your GP whether iron supplementation is appropriate, particularly if you develop symptoms of anaemia such as fatigue, breathlessness, or pallor
Do not attempt to drain or puncture any swelling, as this increases infection risk
4,18 Data suggest that dulaglutide and liraglutide may be associated with higher rates of nausea, vomiting, and constipation compared with semaglutide, whereas pharmacovigilance analyses indicate that semaglutide carries the greatest signal strength for these AEs