We understand that off-label prescribing can be beneficial in some circumstances, but we cannot support it when it is directly contributing to ongoing shortages for people living with T2DM and the impact this has on managing [T2DM] well, said Douglas Twenefour, the head of care at Diabetes UK
Mental fatigue is more subtle
Most patients who stop GLP-1 treatment regain a significant portion of the weight they lost, which is why discontinuation is generally not recommended unless side effects or other clinical concerns warrant it
doi: 10.1016/j.coph.2015.03.004 25 YasunobuTYuyaTTomoyukiHYrjTKStuartBGMitsunoriYet al
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However, many patients report increased cold sensitivity, which is typically an indirect consequence of weight loss rather than a direct pharmacological effect of semaglutide