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When anxiety means you should call your provider Contact your provider within 24-48 hours if: Anxiety symptoms are interfering with work, relationships, or daily function You're having panic attacks more than once per week You're avoiding activities or places because of anxiety Anxiety appeared suddenly after a dose escalation and hasn't improved after 2 weeks You're having thoughts of self-harm or suicide (this is a psychiatric emergency, not a medication side effect, but it requires immediate care) Contact your provider same-day if: You're experiencing chest pain along with anxiety symptoms (could be cardiac, not anxiety) You're having difficulty breathing that doesn't improve with calming techniques You checked your blood glucose during symptoms and it was below 60 mg/dL Anxiety symptoms are accompanied by confusion, slurred speech, or vision changes (possible severe hypoglycemia) Emergency care if: Suicidal ideation with a plan Severe chest pain Loss of consciousness Blood glucose below 50 mg/dL that doesn't respond to fast-acting carbohydrates The line between "this is uncomfortable" and "this needs medical attention" is whether symptoms are interfering with function or safety

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Alcohol has a negative effect on blood sugar regulation while GLP-1 has a stabilizing effect