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Many people wonder whether increasing testosterone levels can make them feel more sexually motivated or "horny." The short answer is: it depends

Patients on biologic immunosuppressants (infliximab, vedolizumab, ustekinumab) should avoid GLP-1 therapy unless their gastroenterologist explicitly approves, since combining immune-modulating drugs increases infection and flare risk

When to seek medical advice: Contact your GP for persistent but non-urgent symptoms Use NHS 111 for urgent concerns Attend A&E or call 999 for: Persistent vomiting preventing adequate fluid intake Signs of dehydration (dark urine, dizziness, dry mouth, decreased urination) Severe abdominal pain, particularly if radiating to the back (possible pancreatitis) Upper right abdominal pain with fever or jaundice (possible gallbladder issues) Severe allergic reaction Inability to tolerate any food or fluids for more than 24 hours Your prescribing clinician may consider delaying dose escalation or temporarily reducing the dose if side effects are particularly troublesome, as outlined in the SmPC

Cognitive strategies address the psychological aspects of weight maintenance

This tool evaluates key domains such as Selection, Comparability, and Exposure

If I know a patient is starting on medication, we can take a proactive approach to preserve skin quality, support collagen and maintain facial volume with subtle treatments