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Replication in multisite RCTs with rigorous assessment of craving, substance use and relapse risk will be essential to determine the clinical utility of GLP1RAs in addiction medicine
When to contact your GP or diabetes specialist nurse: If you've been taking expired Rybelsus and notice worsening blood glucose control If you experience unexplained symptoms such as persistent thirst, increased urination, or fatigue If you're unable to obtain a fresh supply of your medication For advice on alternative diabetes management strategies if Rybelsus is temporarily unavailable Seek urgent medical advice (call NHS 111) or emergency care (999) if you experience: Severe dehydration (extreme thirst, dry mouth, little or no urination) Confusion or drowsiness Rapid breathing Severe abdominal pain or persistent vomiting Very high blood glucose levels that don't respond to usual treatment These could be signs of severe hyperglycaemia or hyperosmolar hyperglycaemic state (HHS), which requires immediate medical attention
GLP-1 (glucagon-like peptide-1) is a hormone that plays roles in appetite suppression and glucose regulation

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Paid subscribers: In the paid section, I go deeper into what food noise actually is, how GLP-1s act on metabolic and reward circuits in the brain, and why this explains both their effectivenessand why weight often returns when theyre stopped

There are many ways to fuel the body with nutrient-rich foods that will not cause weight gain
