When to speak to your GP Contact your GP or prescriber if you experience: Persistent stomach pain, especially if youre taking NSAIDs regularly Blood in your vomit or stools, or black tarry stools Severe constipation that doesnt respond to increased fluids and fibre, particularly if youre also taking codeine Reduced urine output or dark-coloured urine, which could suggest dehydration or kidney strain Pain that isnt adequately controlled by over-the-counter painkillers Severe nausea or vomiting that prevents you from taking your regular medications Any new or worsening side effects after starting a painkiller alongside Wegovy Regular painkiller use for a chronic condition that hasnt been reviewed recently If you experience severe abdominal pain, vomiting blood, or signs of bowel obstruction (complete inability to pass wind or stools with severe bloating), seek urgent medical attention

We already knew there was a link between diabetes, obesity and SIBO so its not unexpected to find a link between people who have SIBO in these populations
These treatments are clinically proven and prescribed based on individual medical evaluation
And then there are tirzepatide-based protocols, which are still one of the best fits for many people, especially if the goal is more significant weight reduction from the start
You were on a therapeutic dose of semaglutide, and now you are on a sub-therapeutic starting dose of tirzepatide