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When to seek urgent medical advice : Sudden worsening of joint pain, swelling, or stiffness Signs of infection (fever, malaise, localised warmth) Severe abdominal pain (potential pancreatitis if on GLP-1 therapy) Unexplained persistent nausea or vomiting Any concerning new symptoms after starting any new medication According to NICE Quality Standard 33, if you have suspected persistent synovitis, you should be referred to rheumatology within 3 working days and assessed within 3 weeks

Example: If LGE grows from 8% to 14%, ICD may be warranted even if EF remains normal

We have been successfully using GLP-1s for years at our clinic in conjunction with our four-pillar metabolic health program - focusing on a healthy metabolism: food, sleep, emotional wellness and exercise

GLP-1 drugs mimic the natural GLP-1 hormone, which is released in the gut after eating

Based on current evidence, not necessarily

En relacin a pacientes con insuficiencia cardaca, los GLP1-RA parecen no ser la opcin ms adecuada ya que los inhibidores del SGLT-2 han demostrado de forma consistente la reduccin del riesgo de esta enfermedad y su riesgo de hospitalizacin debido a su efecto diurtico 143