They will review your symptoms and may order imaging to evaluate the diaphragm
The injection site may be numbed with a local anesthetic to minimize discomfort
If no weight loss appears by week 4, your dose may need adjustmentcontact your provider

If you have diabetes and monitor your blood glucose, check your levels when experiencing these symptoms Gastrointestinal side effects (nausea, vomiting, diarrhoea, constipation) are severe or persistent, as these may require dose adjustment or additional management strategies Signs of pancreatitis develop, including severe, persistent abdominal pain radiating to the back, as this is a rare but serious adverse effect requiring immediate medical attention Upper-right abdominal pain occurs, which could indicate gallbladder diseasea known complication associated with GLP-1 receptor agonists and rapid weight loss Unexplained symptoms such as extreme fatigue, cold intolerance, or mood changes occur, which might indicate thyroid dysfunction or other metabolic issues affecting hunger Your healthcare provider may need to: Review your current dose and titration schedule Assess for potential drug interactions or contraindications Screen for underlying conditions affecting appetite (thyroid disorders, diabetes, depression) Evaluate your dietary intake and eating patterns Consider whether Wegovy remains the most appropriate treatment option Discuss combination approaches or alternative weight management strategies NICE guidance (TA875) recommends discontinuing GLP-1 receptor agonists for weight management if less than 5% weight loss is achieved after 6 months at the therapeutic dose, unless there are other clinical benefits
