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Patients should also report burning associated with systemic symptoms such as nausea, vomiting, or abdominal pain, as these may represent gastrointestinal adverse effects of semaglutide rather than injection site reactions

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Second Natures medication programme combines Wegovy or Mounjaro with structured nutrition guidance from registered dietitians, built around the balanced plate model (half vegetables, quarter protein, quarter complex carbohydrates such as wholegrain bread, brown rice, or oats, plus a serving of fat)

WH, RS, RC, CL, RG, WT, JZ and QZ drafted and revised the manuscript

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