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When to contact your healthcare provider : Inability to maintain adequate oral intake due to severe nausea or vomiting Unintentional weight loss exceeding 1.5 kg per week consistently Signs of dehydration (dark urine, dizziness, reduced urination) Persistent abdominal pain, particularly if severe or accompanied by fever Symptoms of gallstones (right upper abdominal pain, especially after eating) Signs of pancreatitis (severe upper abdominal pain radiating to the back) seek urgent medical attention via NHS 111 or 999 if severe Any concerns about nutritional adequacy or eating patterns If you experience hypoglycaemia (if you have diabetes and take insulin or sulfonylureas) Patients should report suspected side effects via the MHRA Yellow Card scheme (yellowcard

In one identified counterfeit batch, the "EXP/LOT" text was positioned to the left of the date and lot number on the pen label instead of above it, which is the correct position on genuine products