4 .Aroda VR, Rosenstock J, Terauchi Y, et al
Important factors to consider include: The temporal relationship between starting the GLP-1 medication and the onset of symptoms Other medications you are taking, as polypharmacy can contribute to cognitive effects Underlying medical conditions, particularly diabetes control, thyroid function, vitamin deficiencies (especially B12), and cardiovascular health Lifestyle factors such as sleep quality, stress levels, alcohol consumption, and overall mental health Your GP may arrange blood tests to exclude reversible causes of cognitive impairment, such as hypothyroidism, vitamin B12 deficiency, or poorly controlled diabetes
Even that small a percentage point is significant, however, and the industry is right to be keeping an eye on it
The price revision brings Novo Nordisk in line with several domestic competitors, like Sun Pharma, Dr Reddy's Laboratories whose brands are priced between Rs 3,500 and Rs 7,500
A 2025 Diabetes Care commentary describes physicians using multidose pens for fractional micro-titration below the FDA-approved starting dose specifically for GI tolerability (Kom et al., 2025)
Press and hold the dose button until the dose counter displays zero
