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High costs, limited insurance or NHS coverage, and global shortages create inequities, which lead some patients to turn towards unregulated online sources, risking safety.10,11 Emergency physicians play a key role in recognizing these patterns, reinforcing the importance of multidisciplinary care, and guiding patients toward safe, evidence-based weight management

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Somogyi Effect Both present with elevated morning glucose, but: Dawn Phenomenon A natural early-morning rise in hormones (cortisol, growth hormone) gradual increase in blood glucose overnight 3 AM glucose: Normal or High Somogyi Effect Overnight hypoglycemia triggers a rebound response glucose spikes by morning 3 AM glucose: Low Simple Clinical Tip: Check blood glucose at 3 AM to differentiate: - Normal/High Dawn Phenomenon - Low Somogyi Effect Why this matters: Treating both the same way can worsen control

L-Theanine Research: Minimal But Intriguing Research on the effects of L-theanine, particularly in people with ADHD, is in its initial stages