Either they took it and had bad side effects, or they took it and didn't lose much weight
Assessment considerations include: Serum B12 measurement may be considered before initiating Ozempic in high-risk patients (those on metformin, older adults, those with gastrointestinal symptoms, or with restricted diets) Testing for B12 deficiency should be performed in patients on metformin who develop symptoms suggestive of deficiency, as advised by the MHRA Drug Safety Update Consider periodic monitoring in patients with risk factors for B12 deficiency, rather than routine annual testing for all patients Full blood count to identify macrocytic anaemia, which may indicate B12 or folate deficiency Clinical assessment for symptoms of deficiency: fatigue, paraesthesia, cognitive changes, glossitis, or balance problems If B12 levels are borderline or if clinical suspicion remains despite normal serum B12 (measured in pmol/L, with laboratory-specific reference ranges), additional testing may be considered according to local laboratory protocols
See related story: How Semaglutide Helped One Woman Reverse PMOS (Formerly PCOS) Symptoms After 14 Years PMOS is a complex endocrine and metabolic disorder characterized by irregular menstrual cycles, elevated testosterone levels, infertility risk and increased rates of obesity and cardiometabolic disease
IVIM is mid-range in pricing, but the membership fee adds to the total cost
More recently, sodiumglucose cotransporter 2 inhibitors (SGLT2is) have been shown to reduce progression of CKD, CV events, and all-cause mortality and have become an additional first-line therapy (7,8)
