The presence of obesity-related complications such as obstructive sleep apnea, metabolic dysfunction-associated steatotic liver disease (MASLD, formerly NAFLD), or cardiovascular disease may justify longer treatment duration given the health benefits of sustained weight loss
Morning dosing also aligns with natural cortisol rhythms
A subset of patients experienced a recurrence of symptoms when restarting the same drug or a different DPP-4 inhibitor
While GLP-1s are commonly used by perimenopausal women, this population has been largely ignored in studies of the drugs' risks and benefits
Theres also the drug minoxidil, though its mostly used for longer-term hair loss and baldness
If these symptoms occur, reassess your nutritional intake and consider consulting a registered dietitian with experience in sports nutrition and weight management medications