Egypt’s president suggested its International Monetary Fund program might need to be reviewed if economic pressures place an intolerable burden on the country’s more than 106 million people.

The $8 billion IMF deal reached earlier this year is being implemented under “extremely difficult regional, international and global circumstances,” President Abdel-Fattah El-Sisi said Sunday in comments to a conference in Cairo.

“We have agreed with the IMF, and this is an important matter,” El-Sisi said. “I say to the government and to myself that if this challenge” leads to pressures on the public they cannot bear, “the situation must be reviewed and the situation with the fund must be reviewed.”

El-Sisi’s remarks signal the travails the Middle East’s most populous nation may still be facing even after a vast global bailout promised a route out of a gruelling two-year economic crisis that had been exacerbated by the Israel-Hamas war.