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Important factors include: A1C level current diabetes medications hypoglycemia risk cardiovascular history kidney function weight goals side effect history insurance coverage contraindications Do not choose based only on online weight-loss comparisons

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Patient safety advice includes: Maintaining good injection technique and site rotation to minimise local reactions Staying up to date with routine vaccinations, including annual influenza and pneumococcal vaccines as recommended for people with diabetes Monitoring for signs of infection and seeking prompt medical advice if concerned Following 'sick day rules' during illness maintain hydration, continue medication if possible, but temporarily pause GLP-1 treatment if unable to keep fluids down Reporting suspected side effects via the MHRA Yellow Card scheme (yellowcard.mhra.gov.uk or the Yellow Card app) Patients should not discontinue their GLP-1 receptor agonist due to concerns about immune function without first consulting their prescribing clinician

B cells in the pathophysiology of myasthenia gravis

In my last 23 years of practice, I have treated over 200,000 cardiac patients

GLP1 agonists mimic the naturally occurring GLP1 hormone that the gut releases after a meal