Contact your GP or diabetes specialist if blood glucose control is inadequate, you experience significant side effects (particularly persistent gastrointestinal symptoms or severe abdominal pain), develop signs of hypoglycaemia, or have questions about your medication regimen
For example, Wegovy prescribing information states that it is used with a reduced-calorie diet and increased physical activity to help certain adults and adolescents reduce excess body weight and maintain long-term weight reduction
Weight, HbA1c and systolic blood pressure consistently rebounded after cessation of GLP-1RAs
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They will also likely look at underlying (and common thyroid) issues, such as nutrient depletion and absorption issues that a conventional medicine doctor might not look at, and whether you have the MTHFR gene variation (which can impair thyroid hormone levels and energy metabolism)