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As we move into the 5th year of GLP-1 medical management, we have discovered that we can do more to support fitness while shedding weight safely

Adults aged18 years with diabetes prescribed biguanides were included

we hope this guide, written by academics, consultants, GPs and a patient with lived experience will help you to prescribe safely particularly in primary care: don't forget to think about the risks with polypharmacy as people lose weight, the return of fertility, risks and side effects, masked malignant weight loss, the risks of malnutrition in obesity (particularly for those who struggle to afford nutritious food) enquire about what people are actually eating (rather than just about caloric reduction or weight lost): "when did you last eat a green leafy vegetable?", "what did you have for breakfast/lunch/dinner yesterday?", "what are you drinking?" are good enough screeners for most people in short consultations: *dietary quality matters* British Society of Lifestyle Medicine Royal College of General Practitioners Sarah Le Brocq Dr Laurence Dobbie Barbara McGowan Dipesh C

Learn why some patients cannot tolerate these medications and when endoscopic sleeve may be considered.
In December 2024, that share had only reached 14.9%

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