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The ratio of GSH to GSSG can be changed by a number of factors including disease state or oxidative stressors

When to seek urgent medical care: If you experience severe, persistent upper abdominal pain (especially if radiating to the back), with or without vomiting this could indicate pancreatitis and requires immediate assessment If you develop right upper quadrant pain, fever, or yellowing of the skin/eyes possible signs of gallbladder disease If you have persistent vomiting or diarrhoea leading to signs of dehydration (reduced urination, dizziness, extreme thirst) When to contact your GP or diabetes care team: If gastrointestinal symptoms worsen or do not improve after several weeks on Ozempic If you have concerns about the suitability of probiotics given your medical history If you experience any new or worsening symptoms while taking probiotics Probiotics should be viewed as a complementary measure rather than a primary treatment