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Vials sat inside a pill bottle inside a bubble wrap pouch, next to a goody bag with ginger chews and mints for nausea

When to call your provider Within 24 to 48 hours: Night sweats severe enough to require changing sheets multiple times per week Sweats that don't improve after 3 to 4 weeks of step 1 to 3 protocol Sweats with associated fatigue, hair loss, or new symptoms suggesting thyroid issues New onset after months of stable Zepbound use Same day: Sweats with fever above 101F Sweats with chest pain, palpitations, or shortness of breath Sweats with severe nausea, vomiting, or signs of dehydration Sweats with abdominal pain (consider pancreatitis) Emergency care: Sweats with chest pain that could be cardiac Sweats with confusion, fainting, or seizure Sweats with severe difficulty breathing The line between "manage at home" and "call the doctor" usually hinges on whether you're losing sleep, whether other symptoms are present, and whether the protocol above is working

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If you have concerns about fertility , particularly if you are experiencing amenorrhoea, seek medical advice promptly