When lab work can help Lab work can help when shedding is heavy, lasts more than a couple of months, or comes with fatigue, dizziness, brittle nails, or other symptoms
More serious but less common adverse effects require clinical vigilance: Pancreatitis : Patients should be counselled to stop the medication and seek immediate medical attention if they experience severe, persistent abdominal pain radiating to the back [1] [5] Gallbladder disease : Rapid weight loss associated with GLP-1 therapy may increase cholelithiasis risk [1] Hypoglycaemia : Particularly when used alongside insulin or sulphonylureas in diabetes management Diabetic retinopathy : Semaglutide requires caution in patients with pre-existing retinopathy, who should be monitored regularly [1] Renal impairment : Dehydration from gastrointestinal side effects may affect kidney function Specific considerations for individuals with eating disorders include the potential for GLP-1 medications to exacerbate restrictive eating patterns or mask hunger cues in vulnerable individuals
Diabetes Research, 16, 185191
It's important to note that GLP-1 receptor agonists are not licensed for type 1 diabetes or for the treatment of diabetic ketoacidosis, and they are not a substitute for insulin
The patient is already going downhill, which is why the B12 shots are prescribed
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