Follow-up visits are another charge too
Laali E, Manifar S, Kazemian A et al (2020) Effect of selenium on incidence and severity of mucositis during radiotherapy in patients with head and neck cancer
You should contact your GP or diabetes care team if: Cold sensitivity is severe, persistent, or progressively worsening You experience cold intolerance accompanied by other symptoms such as extreme fatigue, constipation, dry skin, hair loss, or unexplained weight gain You develop symptoms suggestive of hypothyroidism (underactive thyroid), which can cause cold sensitivity (note that while GLP-1 receptor agonists have been associated with C-cell tumours in rodent studies, there is no established link to hypothyroidism in humans) You notice signs of anaemia, such as pallor, breathlessness, or palpitations, which can cause cold sensitivity Cold hands or feet are accompanied by colour changes (white, blue, or red), pain, or numbness, which may indicate circulatory problems You experience unexplained fever, chills, or rigors, which could suggest infection You have symptoms of hypoglycaemia (low blood sugar) such as shakiness, sweating, or confusion, especially if you also take insulin or sulfonylureas NICE guidance (NG28) recommends regular monitoring of patients on GLP-1 receptor agonists, including assessment of glycaemic control, weight, and tolerability
This affects who notices gastrointestinal signals early
Its always been. Lau said obesity should be treated as a chronic relapsing disease, much like diabetes, and should no longer be viewed as a consequence of lack of willpower
They will review your clinical situation and use their independent clinical judgment to recommend the most appropriate treatment option for you
