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Contact your GP or bariatric team promptly if you experience: Repeated fainting or loss of consciousness Blood pressure readings consistently below 90/60 mmHg Severe dizziness that prevents normal daily activities Signs of significant dehydration, such as very dark urine, dry mouth, or no urination for more than eight hours Chest pain, shortness of breath, or palpitations alongside low blood pressure Severe abdominal pain, black or tarry stools, fever, or rigors alongside low blood pressure, as these may indicate early post-operative complications requiring urgent assessment Symptoms that are worsening rather than improving over time If you are unsure and it is not an emergency, contact NHS 111 for urgent advice

Appetite suppression is typically at its strongest, though individual variation exists even at maximum dose

But that date is not an expiration date in the traditional sense

Hunger cues are still present, just quieter, she says

doi: 10.1001/jama.2022.0078 78 Tall BullSNufferWTrujilloJM