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if taking prednisolone 10mg daily or more, this is sufficient for rule 1 moderate intercurrent illness cover and double dose not required) Sick day rules ( For perioperative and obstetric management please discuss with the anaesthetic team and consult national guidance ( Management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency | Association of Anaesthetists www.anaesthetists.org)

I make sure that patients are supported by a dietician or a formal program (like MOVE!) that helps them make healthy choices

Contact your doctor or seek emergency care if you experience: Severe abdominal pain: Especially if it persists and radiates to your back Signs of pancreatitis: Severe stomach pain with nausea and vomiting Severe dehydration: Inability to keep fluids down, dizziness when standing Allergic reactions: Rash, difficulty breathing, or swelling Signs of gallbladder problems: Severe pain in the upper right abdomen Sudden vision changes: This is characterized by rapid vision loss or changes Suicidal thoughts or mood changes: New or worsening depression or severe, unusual behavioral changes Dont hesitate to reach out to your healthcare provider with questions or concerns about side effects, even if they seem minor

but widespread use of these drugs is still relatively recent

The model also allows for clarity around cost