Stick to once-weekly injections as prescribed
Seek urgent medical help if you experience: severe or persistent abdominal pain , especially if it is intense, worsening, or not linked to meals upper abdominal pain that spreads to the back , with or without nausea or vomiting ongoing or uncontrollable vomiting that stops you from eating or drinking right-sided abdominal pain , particularly after meals signs of pancreatitis , such as severe stomach pain with vomiting and feeling very unwell signs of acute kidney injury , including very low urine output, dark urine, swelling in the legs or ankles, or extreme tiredness allergic reactions , such as swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing, or a widespread rash sudden or worsening vision changes , including blurred vision, flashes of light, or sudden vision loss These symptoms, while uncommon, are not expected side effects and should not be managed at home
But the real cost is lost momentum
If you are already at 15 mg and plateaued, the focus shifts to lifestyle optimization, increasing protein, adding complementary strategies , and ensuring your caloric intake has not drifted upward unconsciously
For the starting doses where the 8mg/mL vial works well, the larger injection volumes can actually be an advantage