doi:10.1210/endrev/bnae010 Jiang B, Zhang W, Zhang X, Sun Y
Additionally, high-dose niacin causes significant GI adverse effects (nausea, vomiting, diarrhea, flushing with nausea) and liver stress at prolonged high doses
Stop and Seek Help If Severe allergic reaction (rash, swelling, difficulty breathing) Persistent severe nausea or vomiting not improving with dose reduction Signs of pancreatitis (severe abdominal pain radiating to back) Planned pregnancy or positive pregnancy test Inability to maintain adequate nutrition despite dose adjustments Any concerning symptoms your healthcare provider advises stopping for Always consult your healthcare provider before stopping or modifying your dose
Temporary Contraception During Washout Remember that you need to continue using contraception during the 2-month washout period after stopping Ozempic
Follow-up consultations are required every six months for active treatment plans and every nine months for maintenance dosing
This helps lower blood sugar levels and improve insulin sensitivity