Promotes protein synthesis, fights free radicals (thus is antioxidant) and is involved in insulin formation
The drug works by blocking the enzyme aromatase , which is responsible for converting androgens (male hormones) into oestrogen in peripheral tissues
Build an independent practice with direct patient relationshipsnot through corporate intermediaries
Circumstances in which a dose reduction or temporary pause would typically be considered include: Persistent nausea or vomiting that significantly impairs oral intake or daily functioning Severe diarrhoea lasting more than 48 hours, particularly if associated with signs of dehydration such as dizziness, reduced urine output, or dry mouth seek clinical review promptly if you are unable to keep fluids down Acute illness , surgery, or hospitalisation, during which metabolic demands and oral intake may be unpredictable Pancreatitis symptoms , including severe upper abdominal pain radiating to the back, which warrants immediate medical review Peri-operative considerations: UK guidance from the Centre for Perioperative Care (CPOC) and the Association of Anaesthetists advises that GLP-1 receptor agonist class medicines should be withheld before surgical procedures due to the risk of delayed gastric emptying and aspiration
Compounded semaglutide and tirzepatide may be incorporated as part of the overall approach
