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4) [3748], as treatment decision depends on the patients condition and the physicians opinion

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**Neither peptide **is approved for human or veterinary use by the MHRA, FDA, or any other regulatory body

Care at Home: Complement your Lipo B12 treatments with a balanced diet and regular exercise

However, growing evidence shows that in ME/CFS, this energy-production system is severely impaired

Immediate Management If hypoglycaemia occurs: Break the fast immediately this is medically necessary Have 15-20g fast-acting carbohydrates: 3-5 dates 120ml fruit juice 3-4 glucose tablets Wait 15 minutes and reassess symptoms If symptoms persist: Have another 15-20g carbs and seek medical attention Prevention Strategies Ensure adequate complex carbohydrate intake at Suhoor (covered in Part 2) Never skip Suhoor this is critical when on GLP-1s Monitor symptoms closely, especially in Week 1 of Ramadan Consider dose reduction if on higher doses (Mounjaro 10mg+, Wegovy 1.7mg+) Keep glucose tablets handy if on higher doses Important: The risk is LOW in non-diabetic patients, but being prepared is essential