The follicles remain alive throughout the process
If you have nausea, vomiting, or bloating from the medicine, let your medical team knowthey may adapt the plan
How each one works Phentermine is a sympathomimetic, meaning it stimulates the release of norepinephrine to reduce hunger signals
Start gradually, particularly if Wegovy causes fatigue initially Sleep hygiene : Adequate, quality sleep (79 hours nightly) is essential for both mental health and metabolic regulation Stress management : Mindfulness, meditation, or relaxation techniques can complement antidepressant therapy Social connection : Maintaining relationships and engaging in meaningful activities supports mental wellbeing Nutritional considerations require particular attention when combining these medications: Adequate nutrition : Despite reduced appetite from Wegovy, ensure sufficient protein, vitamins, and minerals Hydration : Drink plenty of water, especially if experiencing gastrointestinal side effects Meal timing : Eating at consistent times may help manage nausea and maintain energy levels Dietitian referral : Professional nutritional guidance can optimise weight loss whilst preventing deficiencies Integrated care coordination : Your GP should ideally coordinate care between mental health services, NHS weight management services, and any other specialists involved in your treatment
It represents a promising option for patients struggling with weight-related health issues, offering a medically monitored pathway towards weight loss
For patients with symptoms suggestive of gallbladder disease or known gallstones, targeted investigations may include: Liver function tests (LFTs) : To assess for biliary obstruction or hepatic dysfunction Full blood count : To identify infection or inflammation Abdominal ultrasound : To evaluate gallstone size, number, and location, plus gallbladder wall thickness and bile duct diameter Amylase or lipase : If there is any suspicion of previous pancreatitis Serum triglycerides : Particularly if pancreatitis risk assessment is indicated If imaging reveals complicated gallstone disease such as a packed gallbladder, large stones, gallbladder wall thickening, or bile duct dilatationreferral to general surgery or gastroenterology is appropriate before considering weight loss medication
