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Seek immediate medical attention (A&E or call 999) if experiencing: Severe, uncontrollable pain that is not relieved by over-the-counter analgesia Fever above 38C with flank pain , suggesting possible kidney infection (pyelonephritis) Complete inability to urinate or significant reduction in urine output, indicating possible obstruction Persistent vomiting preventing fluid intake and medication administration Signs of sepsis including confusion, rapid heart rate, rapid breathing, or feeling extremely unwell Contact your GP within 24 hours if you experience: Moderate flank or abdominal pain with urinary symptoms Visible blood in urine (haematuria) Burning or pain during urination with fever Persistent nausea and vomiting beyond typical Wegovy side effects Symptoms suggesting a small stone that may pass with conservative management Routine GP consultation is appropriate for: Discussing kidney stone risk factors before starting Wegovy Reviewing prevention strategies if you have a history of kidney stones Persistent mild urinary symptoms without severe pain Concerns about distinguishing medication side effects from potential complications Follow-up after kidney stone treatment to discuss ongoing Wegovy use Healthcare professionals will typically arrange urinalysis, blood tests (including renal function), and imaging to diagnose kidney stones