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Trace elements such as zinc, copper, selenium, and thiamine should be checked where clinically indicated Psychological support available through the bariatric team or via GP referral to NHS Talking Therapies (formerly known as IAPT) services GP involvement your GP should be kept informed of your progress and can manage ongoing issues such as reflux, medication adjustments, or new symptoms If you are experiencing symptoms such as persistent sneezing after eating, or any other concerns that arise between scheduled appointments, do not hesitate to contact your bariatric team directly

Holistic Healthcare Integration: These drugs are most effective when combined with lifestyle modifications and require continuous clinical supervision

Get these tests before your first dose, or as early in therapy as possible

[DOI] [PubMed] [Google Scholar] 101.van Can J., Sloth B., Jensen C.B., Flint A., Blaak E.E., Saris W.H.M

Semaglutide 2.4mg (GLP-1 Agonist): Proven GLP-1 effects (appetite suppression, gastric emptying) Already FDA-approved as Wegovy Established safety profile Cagrilintide 2.4mg (Amylin Analog): Mimics amylin, a hormone co-secreted with insulin Slows gastric emptying through different pathway than GLP-1 Reduces appetite through hindbrain (not hypothalamus) Improves postprandial glucose The Advantage: Leverages proven semaglutide efficacy and safety, adds complementary amylin effects

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