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If severe adverse reactions are suspected, your doctor may advise holding your next dose until evaluation

However, rapid weight loss from any cause carries an established risk of gallstone formation

Monitoring plan : Clarify how often your thyroid function will be monitored during Wegovy treatment, and ensure you understand when to seek medical advicefor example, if you develop neck swelling, persistent hoarseness, or symptoms of thyroid dysfunction

Haver's book "The Galveston Diet" addresses this

While there is no evidence that Rybelsus worsens liver function, the presence of significant hepatic compromise may affect overall clinical stability