Lifestyle intervention remains foundational: weight loss, diet, physical activity these are the first line not only for glucose control but also liver outcomes
We prioritize clean, controlled compounding designed specifically for injectable use
The program now includes 15 therapies that address critical public health and national security concerns, such as obesity, cancer, sickle cell disease, and drug-resistant tuberculosis
Factors to Consider When Choosing a GLP-1 Agonist Your Goals: For significant weight loss, options like semaglutide or tirzepatide are most effective
Your diabetes team may recommend: Checking blood glucose before bed and upon waking Adjusting doses of other diabetes medications if hypoglycaemia occurs do not adjust insulin or sulphonylurea doses without personalised guidance from your healthcare team Having a small, appropriate bedtime snack if advised by your healthcare team Sleep hygiene practices remain important, as recommended by the NHS and NICE Clinical Knowledge Summaries: [13] Maintain a regular sleep schedule, even at weekends Create a cool, dark, quiet sleeping environment Establish a relaxing bedtime routine Limit screen time for at least one hour before bed Consider relaxation techniques such as deep breathing or progressive muscle relaxation If you have symptoms of obstructive sleep apnoea (snoring, witnessed breathing pauses, excessive daytime sleepiness), discuss this with your GP as you may need referral for assessment
They help ensure an optimal daily nutrient intake despite a restricted appetite
