{
  "publisher": "Aero Clinic",
  "url": "https://www.cagri.co.uk/symptom-guide",
  "emergency": "Severe stomach pain which does not ease, swelling of the face or throat, trouble breathing, or vomiting for more than 24 hours: call 999 or go to A&E.",
  "symptoms": [
    {
      "id": "nausea",
      "symptom": "Nausea",
      "level": "mild",
      "what_helps": "Most common in the week after a dose or a step up. Eat small, bland meals, stop eating when you feel full, and avoid fatty or sugary food. Ginger or peppermint tea helps some people. Nausea usually eases within two to three weeks.",
      "get_help_same_day_if": "Vomiting for more than 24 hours, or being unable to keep fluids down.",
      "url": "https://www.cagri.co.uk/symptom-guide#nausea"
    },
    {
      "id": "vomiting",
      "symptom": "Vomiting",
      "level": "watch",
      "what_helps": "Occasional vomiting after a dose is common. Sip fluids often, rest, and return to small meals once settled. Tell your clinical team at your next check-in.",
      "get_help_same_day_if": "Vomiting for more than 24 hours, blood in vomit, or signs of dehydration such as dark urine and dizziness.",
      "url": "https://www.cagri.co.uk/symptom-guide#vomiting"
    },
    {
      "id": "constipation",
      "symptom": "Constipation",
      "level": "mild",
      "what_helps": "Food moves more slowly on GLP-1 treatment. Drink 2 litres of fluid a day, add fibre gradually, walk daily, and ask your pharmacy team about a gentle laxative if nothing passes for three days.",
      "get_help_same_day_if": "No bowel movement for a week with stomach swelling or pain.",
      "url": "https://www.cagri.co.uk/symptom-guide#constipation"
    },
    {
      "id": "diarrhoea",
      "symptom": "Diarrhoea",
      "level": "mild",
      "what_helps": "Usually short lived after a step up. Drink extra fluid, eat plain food, and avoid alcohol, caffeine and artificial sweeteners until your gut settles.",
      "get_help_same_day_if": "Diarrhoea for more than 48 hours, or with fever or blood.",
      "url": "https://www.cagri.co.uk/symptom-guide#diarrhoea"
    },
    {
      "id": "reflux",
      "symptom": "Heartburn or reflux",
      "level": "mild",
      "what_helps": "Eat earlier in the evening, avoid lying down for two hours after meals, and raise the head of your bed. Over-the-counter antacids are safe to use alongside treatment.",
      "get_help_same_day_if": "Pain or difficulty swallowing, or black stools.",
      "url": "https://www.cagri.co.uk/symptom-guide#reflux"
    },
    {
      "id": "stomach-pain",
      "symptom": "Stomach pain",
      "level": "watch",
      "what_helps": "Mild cramping after meals is common. Severe pain which spreads to your back, does not ease, and comes with vomiting can be pancreatitis, which is rare but serious.",
      "get_help_same_day_if": "Severe stomach pain which does not ease, especially with vomiting or fever. Call 999 or go to A&E.",
      "url": "https://www.cagri.co.uk/symptom-guide#stomach-pain"
    },
    {
      "id": "fatigue",
      "symptom": "Tiredness",
      "level": "mild",
      "what_helps": "Common in the first weeks as you eat less. Keep protein up, drink enough, and keep moving gently. Tiredness usually passes as your body adjusts.",
      "get_help_same_day_if": "Extreme weakness, confusion or fainting.",
      "url": "https://www.cagri.co.uk/symptom-guide#fatigue"
    },
    {
      "id": "dizziness",
      "symptom": "Dizziness",
      "level": "watch",
      "what_helps": "Often linked to eating or drinking too little. Have regular small meals and fluids. If you take blood pressure medicine, your dose may need review as you lose weight.",
      "get_help_same_day_if": "Fainting, or dizziness with a racing heart or chest pain.",
      "url": "https://www.cagri.co.uk/symptom-guide#dizziness"
    },
    {
      "id": "headache",
      "symptom": "Headache",
      "level": "mild",
      "what_helps": "Usually from dehydration or low food intake. Drink more fluid, do not skip meals, and use paracetamol if needed.",
      "get_help_same_day_if": "A sudden severe headache, or one with vision changes, stiff neck or confusion.",
      "url": "https://www.cagri.co.uk/symptom-guide#headache"
    },
    {
      "id": "injection-site",
      "symptom": "Injection site reaction",
      "level": "mild",
      "what_helps": "Redness, itching or a small lump at the site is common and fades within days. Rotate sites each week and let the pen reach room temperature before injecting.",
      "get_help_same_day_if": "Spreading redness, heat, pus or fever.",
      "url": "https://www.cagri.co.uk/symptom-guide#injection-site"
    },
    {
      "id": "hair-loss",
      "symptom": "Hair shedding",
      "level": "mild",
      "what_helps": "Linked to rapid weight loss rather than the medicine. Shedding usually starts around month three and regrows within six months. Keep protein at 1.2 to 1.6 g per kg of body weight.",
      "get_help_same_day_if": "Patchy bald areas or shedding with a rash, which need a GP review.",
      "url": "https://www.cagri.co.uk/symptom-guide#hair-loss"
    },
    {
      "id": "low-sugar",
      "symptom": "Shakiness or sweating",
      "level": "watch",
      "what_helps": "GLP-1 treatment alone rarely causes low blood sugar. The risk rises if you also take insulin or a sulfonylurea. Eat something with carbohydrate and tell your prescriber.",
      "get_help_same_day_if": "Confusion, seizure or loss of consciousness. Call 999.",
      "url": "https://www.cagri.co.uk/symptom-guide#low-sugar"
    },
    {
      "id": "gallbladder",
      "symptom": "Pain under the right ribs",
      "level": "urgent",
      "what_helps": "Rapid weight loss raises the risk of gallstones. Pain under the right ribs after fatty meals, with nausea, needs a same-day GP review.",
      "get_help_same_day_if": "Severe pain with fever, yellowing of the skin or eyes, or dark urine. Call 999 or go to A&E.",
      "url": "https://www.cagri.co.uk/symptom-guide#gallbladder"
    },
    {
      "id": "allergy",
      "symptom": "Rash, swelling or wheeze",
      "level": "urgent",
      "what_helps": "A mild rash can be watched. Swelling of the face, lips or throat, or trouble breathing, is an emergency.",
      "get_help_same_day_if": "Any swelling of the face, lips or throat, or difficulty breathing. Call 999.",
      "url": "https://www.cagri.co.uk/symptom-guide#allergy"
    },
    {
      "id": "mood",
      "symptom": "Low mood",
      "level": "watch",
      "what_helps": "Changes in appetite and routine can affect mood. Tell your clinical team at any time. Treatment can be paused or stopped.",
      "get_help_same_day_if": "Thoughts of harming yourself. Call 999, go to A&E, or call Samaritans on 116 123.",
      "url": "https://www.cagri.co.uk/symptom-guide#mood"
    }
  ],
  "clinical_review_status": "pending",
  "source_content_date": "2026-10-15"
}