After a 4-month break from using Vegova, I went back to the 1mg dose right away and I have severe reflux — what can I do now that doctors are not available now?

After a longer break (4 months), it is usually not recommended to return to the 1 mg dose immediately, as this may exacerbate side effects such as reflux. The standard is to gradually increase the dose again from a lower dose (e.g. 0.25 or 0.5 mg).

Until you contact your doctor, you can consider withholding the next dose or, if it is possible organizationally, reducing the dose, and symptomatically help yourself with an easily digestible diet, smaller portions, not eating 3-4 hours before bedtime, and over-the-counter reflux medication on an ad hoc basis. If reflux is very severe, vomiting, chest pain or difficulty swallowing, you should contact your doctor urgently, even during the holiday season.

The Wegovy preparation should be part of a comprehensive approach, including a proper diet and physical activity. The diet should be tailored to the individual needs of the body and take into account all key nutrients. The support of a qualified dietitian can be helpful, also in the form of online consultations, e.g. on the Gdziepolek.pl portal:

https://www.gdziepolek.pl/telekonsultacja/z-dietetykiem

If you are not able to use a stationary visit, I attach a link to the online teleconsultation:

https://www.gdziepolek.pl/telekonsultacja/

The advice is held in Polish.

I encourage you to read the additional materials that may be useful:

https://www.gdziepolek.pl/blog/nowe-leki-na-otylosc-i-cukrzyce-jak-nie-dac-sie-oszukac

https://www.gdziepolek.pl/artykuly/otylosc-i-nadwaga

https://www.gdziepolek.pl/produkty/115667/wegovy-iniekcja/apteki