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Recommended monitoring approach: Test blood glucose at least twice daily (fasting and 2 hours post-meal) for the first week after restarting Ozempic Increase testing frequency to 4 times daily if you take insulin or sulfonylureas alongside Ozempic, due to hypoglycaemia risk Record all readings along with notes about meals, activity, and any symptoms Report consistent readings above 12 mmol/L or below 4 mmol/L to your diabetes team Be aware that blood glucose levels may initially be higher than pre-surgery values due to the medication interruption and surgical stress response

J.BaiY.AbayB.et al (2021)

So if you have never been in that kind of environment but have high levels of gliotoxins in your urine test (more about this below), then think candida overgrowth

Am J Nephrol 26, 43744 (2006)