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| Sonakshi Sinha
NICE guidance on metformin use recommends measuring B12 levels in patients with symptoms suggestive of deficiency
Symptom tracking: Keep a simple log injection day, warmth onset, intensity (110), duration
Focus on: Protein-rich foods to preserve lean muscle mass during weight loss Iron-containing foods (red meat, leafy greens, fortified cereals) to prevent anaemia, particularly if periods become heavier Calcium and vitamin D for bone health, as oestrogen fluctuations can affect bone density Healthy fats including omega-3 fatty acids, which support hormone production For women using hormonal contraception , the Faculty of Sexual and Reproductive Healthcare (FSRH) advises that semaglutide and liraglutide do not reduce hormonal contraceptive efficacy
For those with longer-standing diabetes (over 10 years), surgery didnt show a clear survival edge
Cell 146 , 9921003 (2011)
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