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Copper accumulation is theoretically possible with very high doses over extended periods

Seek urgent medical attention (call 999 or attend A&E) if dizziness is accompanied by: Chest pain or pressure Severe headache , particularly if sudden onset Difficulty speaking , facial drooping, or weakness on one side of the body (potential stroke symptoms) Loss of consciousness or fainting Severe shortness of breath Rapid or irregular heartbeat with associated symptoms Persistent severe abdominal pain radiating to the back with vomiting (signs of pancreatitis) Contact your GP or NHS 111 if you experience: Persistent or worsening dizziness that interferes with daily activities Recurrent episodes of dizziness or light-headedness Signs of dehydration : reduced urination, dark urine, extreme thirst, dry mouth, or confusion Symptoms of hypoglycaemia that are frequent or severe True vertigo with a spinning sensation, especially if accompanied by hearing changes or tinnitus Dizziness following a fall or injury For routine concerns , discuss dizziness at your next scheduled appointment, particularly if it is mild and infrequent

The slower pace allows the body to adapt while still benefiting from appetite suppression and improved blood sugar regulation

When you raise your hand, your team can collaborate with you to identify the optimal plan and set expectations, such as understanding that a plateau is typical around weeks 40 to 48