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STEROID WITHDRAWAL ADVICE Patients who have received long-term steroids in whom it is planned to reduce the dose below 4mg/day prednisolone (or equivalent) can be risk stratified for adrenal insufficiency by measuring a morning cortisol sample (brown tube) taken PRIOR to morning steroid dose

As with all GLP-1 therapies, there are important safety considerations: Not suitable for individuals with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) May cause nausea, vomiting, diarrhea , especially during dose titration Monitor for signs of pancreatitis , gallbladder issues, or allergic reactions Not indicated for patients with Type 1 diabetes or those with severe gastrointestinal disorders Regular follow-ups, lab monitoring, and dose adjustments are part of the DrWell Methodology to ensure safe, effective outcomes

Many body functions require vitamin B12

Yen added that a high-stress lifestyle can reduce B vitamin absorption and noted that 25.8% of the nations population suffers from a B vitamin deficiency.