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Focus on fruits and vegetables that are high in fiber Eat small high protein meals as digestion is slowed down while on this medication Avoid foods high in fat as they take longer to digest Drink at least 32oz of water a day to avoid constipation Do not take this medication if: You have a personal or family history of medullary thyroid carcinoma (Thyroid Cancer) You have a personal history Multiple Endocrine Neoplasia syndrome type 2 (MEN2) You are pregnant or plan to become pregnant while taking this medicine You are diabetic and/or taking any medications related to lowering your blood sugar levels without speaking with your endocrinologist or primary care provider

Every patient should receive a written treatment plan that outlines their specific protocol, follow-up schedule, medication titration timeline, nutritional targets, and measurable short-term and long-term goals

Contact your GP or NHS 111 promptly if dizziness persists beyond the first few weeks, recurs with blood glucose below 4.0 mmol/L, or is associated with new visual symptoms

Compare weekly averages rather than single readings to spot meaningful trends