They may decide to increase the dosage of your medication or check other underlying conditions that could be affecting the medications effectiveness
The mechanism involves the suppression of pro-inflammatory chemokine (C-C motif) ligand 20 (CCL20), which is of significant importance in the Th17 immune response, as well as IL-33, which is a key cytokine associated with Th2 immune responses [224]
Other relevant risk factors include: Chronic kidney disease , which can lead to uraemic neuropathy Autoimmune conditions such as rheumatoid arthritis, lupus, or Sjgren's syndrome Infections including HIV, shingles, or Lyme disease (though the latter is less common in the UK) Exposure to toxins or certain medications (chemotherapy agents, some antibiotics) Thyroid disorders , particularly hypothyroidism Family history of hereditary neuropathies Patients with multiple risk factors require particularly careful monitoring
Those with existing gallbladder disease or history of gallstones may require closer monitoring or alternative weight management approaches
Retrieved from Del Rosso, J
Avoid relying on coffee or caffeinated tea for hydration
