When starting treatment with Mounjaro, in some cases you may experience dehydration, e.g. due to vomiting, nausea or diarrhoea. It is important to avoid dehydration by drinking plenty of fluids.

Other side effects include:

• Low blood sugar
• Nausea and vomiting
• Diarrhoea and constipation
• Abdominal pain
• Inflamed pancreas (acute pancreatitis), which could cause severe pain in the stomach and back, which does not go away. It is a rare but severe side effect. If you experienced abdominal pain like this please seek medical advice without delay.

• Ladies planning on becoming pregnant or breast feeding
• We need to be careful if you have severe problems with food digestion or food remaining in your stomach for longer than normal (including severe gastroparesis) or as a result of previous stomach surgery.
• If you have ever had pancreatitis (inflammation of the pancreas which may cause severe pain in the stomach and back which does not go away).
• If you had thyroid cancer
• We have to be careful if you take certain medications for diabetes and diabetes is not well controlled as there is a risk of low sugars (hypoglycemia)

Mounjaro is injected under the skin (subcutaneous injection) of your stomach area (abdomen) or upper leg (thigh) Please use different injection site each week.

Please see video how to inject this medication? 

• If it is 4 or less days take it as soon as you remember. Take the next dose at the usual day.
• If it is more than 4 days skip the missed dose and administer the next dose on the regularly scheduled day.

Wegovy is a medicine for weight loss and weight maintenance that contains the active substance semaglutide. It is similar to a natural hormone called glucagon-like peptide-1 (GLP-1) that is released from the bowel after a meal. Wegovy works by acting on receptors in the brain that control your appetite, causing you to feel fuller and less hungry and experience less craving for food.

When starting treatment with wegovy, in some cases you may experience dehydration, e.g. due to vomiting, nausea or diarrhoea. It is important to avoid dehydration by drinking plenty of fluids.

• Low blood sugar
• Headache
• Nausea and vomiting
• Diarrhoea and constipation
• Kidney or bladder stones. Signs may include back or lower abdomen pain, difficulty in urination or change in colour of your urine.
• Inflamed pancreas (acute pancreatitis) which could cause severe pain in the stomach and back,which does not go away. It is a rare but severe side effect. If you experienced abdominal pain like this please seek medical advice without delay.

• Ladies planning on becoming pregnant or breast feeding
• If you have ever had pancreatitis (inflammation of the pancreas which may cause severe pain in the stomach and back which does not go away).
• If you had thyroid cancer
• If you have untreated gallstones
• We have to be careful if you take certain medications for diabetes and diabetes is not well controlled as there is a risk of low sugars (hypoglycemia)

Wegovy  is injected under the skin (subcutaneous injection) of your stomach area (abdomen) or upper leg (thigh) Please use different injection site each week.

Please see video how to inject this medication?

• If it is 5 days or less since you should have used wegovy, use it as soon as you remember. Then inject your next dose as usual on your scheduled day.
• If it is more than 5 days since you should have used wegovy, skip the missed dose. Then inject your next dose as usual on your next scheduled day. Do not take a double dose to make up for a forgotten dose.

Orlistat is a tablet that is designed to reduce absorption of fat in your meals.

• Common site effects include excessive wind, looser and more frequent stools
• Some patients might experience bleeding from back passage or
• Diverticulitis (inflammation of the bowel), hepatitis (inflammation of liver) and pancreatitis (inflammation of the pancreas). Symptoms might include upper or lower abdominal pain, change in your bowel habit, nausea and vomiting and fever. If you worried about inflammation in your bowel of pancreas you should seek medical attention without delay.
• Kidney or bladder stones. Signs may include back or lower abdomen pain, difficulty in urination or change in colour of your urine.

• Ladies planning on becoming pregnant or breast feeding
• If you have cholestasis (liver disorder)
• If you have problems absorbing food (chronic malabsorption syndrome)

• Ciclosporin
• Blood thinners such as warfarin

Tablet should be taken immediately before, during a meal or up to one hour after a meal with your 3 main meals of the day. The capsule should be swallowed with water. If you miss a meal, or your meal contains no fat, do not take orlistat.

As this medication can affect absorption of vitamins it is a good idea to take multivitamins at the bed time when you’re taking orlistat.

• If it is less than an hour since your last main meal, take the missed capsule. 
• If it is more than an hour since your last main meal, do not take the missed capsule. Wait and take the next capsule around your next main meal as usual.

I am a General Practitioner and SCOPE (World Obesity Federation) certified doctor who specialises in obesity management.

I graduated from Cardiff University Medical School and have completed BSc (Hons) in Medical Sciences with a first class degree at the University of Glamorgan (now the University of South Wales).  I also have a post graduate Certificate in Medical Education from Bangor University.

I have trained at NHS hospitals across North and South Wales. I have experience in internal medicine before training as family doctor and primary care physician. I work at NHS GP surgeries and the General Practice Out of Hours Service.

I worked as lecturer and researcher at Cardiff University. I have keen interest in medical research in the fields of diabetes and epidemiology and antibiotic treatments. I have presented work at medical conferences in the UK and abroad. I have published papers in medical journals, including the British Medical Journal.

I would be delighted to help you improve your health and tackle any acute or chronic health issues .