Patients should contact their GP or healthcare provider if they experience: Persistent vomiting preventing adequate fluid or food intake Severe or persistent abdominal pain (potential pancreatitis) Signs of dehydration (dark urine, dizziness, reduced urine output) Unexplained weight loss exceeding expected therapeutic effects Any symptoms suggestive of ketoacidosis as previously described Immediate medical attention (A&E or 999) is warranted for: Severe abdominal pain with vomiting Confusion or reduced consciousness Rapid breathing with fruity breath odour Blood ketone levels 3.0 mmol/L Inability to keep down fluids for more than 12 hours Patients planning surgery should discuss Mounjaro with their surgical/anaesthetic team, as some centres may advise withholding weekly GLP-1 receptor agonists pre-procedure due to delayed gastric emptying effects

Furtunescu AR, Georgescu SR, Tampa M, Matei C (2024) Inhibition of the JAK-STAT pathway in the treatment of psoriasis: a review of the literature
Key identified targets include Cyclophilin D (CypD), A-binding alcohol dehydrogenase (ABAD), and human Presequence Protease (hPreP) (81)
Many factors can contribute to mental health changes during weight loss treatment, including dietary restrictions, lifestyle modifications, medication side effects such as nausea affecting quality of life, and the psychological impact of body image changes
When you consume fiber-rich foods, specialized cells called L-cells in your small intestine respond by releasing GLP-1 hormone
doi: 10.3390/nu12010024, 31