Proper dosing, consistent administration, and adequate duration all determine success
And when the trialists ran the numbers separately for people who lost a lot of weight versus very little, a chunk of the cardiovascular benefit didnt track with how much weight came off
Less than 5% body weight loss after 16 or more weeks at a therapeutic dose (10mg or above) constitutes a poor response
Patients should seek immediate medical attention by calling 999 or attending the nearest Accident & Emergency department if they experience: Chest pain or pressure , particularly if radiating to the arm, jaw, or back Severe shortness of breath or difficulty breathing at rest Dizziness, light-headedness, or fainting (syncope) Irregular heartbeat with symptoms such as chest pain or severe dizziness Non-urgent but important symptoms that warrant contact with your GP or NHS 111 within 2448 hours include: Persistent palpitations occurring daily or interfering with activities Sustained rapid heart rate at rest New-onset heart racing associated with anxiety or panic symptoms Palpitations accompanied by persistent nausea, vomiting, or inability to maintain hydration Any cardiovascular symptoms in patients with pre-existing heart disease Your healthcare provider may arrange investigations such as an electrocardiogram (ECG) , blood tests to assess electrolytes and thyroid function, or 24-hour Holter monitoring to characterise any rhythm disturbance
