Your GP may arrange appropriate investigations, including first-line screening tests such as late-night salivary cortisol, 24-hour urinary free cortisol, or an overnight dexamethasone suppression test, before referring to an endocrinologist if necessary
Lifestyle modification becomes paramount when pharmacological support is withdrawn, and patients benefit from structured approaches rather than attempting to maintain results through willpower alone
Indeed, once-weekly injections (for either 5 weeks or 9 weeks) of dulaglutide have been shown to reduce both alcohol consumption and preference for alcohol in male rats throughout the treatment period (Vallof et al., 2020)
Many adolescents struggle with injection-related discomfort, gastrointestinal side effects, and unrealistic expectations about weight loss timelines, leading to high discontinuation rates
Its dense, but it's the insurer's playbook
Shes still doing well on the medication, and has room to adjust her dose if needed