Common signs include: Fatigue and weakness Neurological changes, such as numbness or tingling in the hands and feet Megaloblastic anemia, characterized by large, abnormal red blood cells Cognitive difficulties, including memory loss and confusion Early detection and treatment of B12 deficiency can make a big difference
We do not give a prescription without supervision
You should contact your GP or diabetes care team if you experience any of the following : Sudden or rapidly progressive swelling of the face, lips, tongue, or throat, which could indicate an allergic reaction (angioedema) Swelling accompanied by shortness of breath , particularly when lying flat, which may suggest heart failure Unilateral leg swelling (affecting only one leg), especially if associated with pain, warmth, or redness, as this could indicate deep vein thrombosis requiring same-day assessment Swelling with significant weight gain (more than 23 kg in a few days) without dietary explanation Peripheral oedema with reduced urine output or changes in urine colour, which might indicate kidney problems Abdominal swelling with pain or discomfort , particularly if accompanied by nausea or vomiting Seek immediate medical attention (call 999 or attend A&E) if you experience : Severe difficulty breathing or chest pain alongside swelling Facial swelling with difficulty swallowing or breathing Signs of severe allergic reaction (anaphylaxis) Sudden, severe abdominal pain that could indicate pancreatitis if pancreatitis is suspected, stop taking Ozempic immediately For non-urgent concerns, schedule an appointment with your GP or diabetes specialist nurse to discuss your symptoms
European Medicines Agency decision P/0336/2024 Paediatric Investigation Plan for retatrutide
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