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When to contact your healthcare provider : You should seek medical advice if you experience: Severe or persistent nausea and vomiting preventing adequate fluid intake Signs of pancreatitis (severe abdominal pain radiating to the back) Gallbladder symptoms (pain in the right upper abdomen, fever, jaundice) Symptoms of hypoglycaemia if taking other diabetes medications Visual changes or worsening eyesight Severe allergic reactions (rash, swelling, breathing difficulties) Unexplained fatigue that worsens rather than improves These medications are not recommended during pregnancy or breastfeeding

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However, some patients may respond better to one SSRI than another due to individual differences in their body chemistry

Subtle daily exposuresplastics, chemicals, endocrine disruptorscan add up