Seek medical advice if fatigue: Persists beyond several months without improvement, despite adequate nutrition and hydration Worsens progressively or becomes debilitating, significantly impairing daily activities or work capacity Is accompanied by severe or persistent gastrointestinal symptoms (intractable nausea, vomiting, diarrhoea, abdominal pain) Occurs alongside signs of dehydration (dark urine, dizziness, reduced urine output, dry mouth) Is associated with symptoms of hypoglycaemia (tremor, sweating, confusion, palpitations), particularly in patients taking concurrent insulin or sulphonylureas Urgent medical attention is required if patients experience: Severe abdominal pain , especially if radiating to the back, which may indicate pancreatitisa rare but serious adverse effect of GLP-1 medications
Noom results involve maintaining a healthy diet and exercise changes
& Machado, M
Abstract Thiamine (vitamin B1) is key in maintaining cellular health and energy metabolism
DPP-IV inhibitors can be used either alone or as combination therapy for reducing fasting and postprandial glucose levels with a low incidence of hypoglycemia and weight gain
