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Chan Y, Ng SW, Tan JZX, Gupta G, Negi P, Thangavelu L, Balusamy SR, Perumalsamy H, Yap WH, Singh SK, Caruso V, Dua K, Chellappan DK (2021) Natural products in the management of obesity: Fundamental mechanisms and pharmacotherapy

When combined, there may be an increased burden of monitoring for adverse effects
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Energy, Recovery, And Quality Of Life Fatigue is one of the most frequently reported concerns among GLP-1 patients

Before starting therapy , healthcare providers should conduct a comprehensive assessment including: Cardiovascular history : Document any history of heart disease, arrhythmias, heart failure, or stroke Baseline vital signs : Measure heart rate, blood pressure, and weight Medication review : Identify potential interactions, particularly with antihypertensives, diuretics, and anticoagulants Laboratory tests : Check renal function, liver enzymes, lipid profile, and HbA1c (if diabetic) ECG : Consider baseline electrocardiogram for patients with known cardiac disease or significant risk factors, though this is not routinely required for all patients During treatment , regular follow-up is essential
