Individual monitoring exists not because the medication is dangerous, but because every medication that affects physiology deserves informed, attentive use
The protocol (available with the full text of this article at NEJM.org) was approved by the independent ethics committee or institutional review board at each site
So, with a mild background noise of familiar anxiety, I retrieved the supplies, washed my hands and then pulled opened the insulin specific needle-syringe combination packaging, tore open two swabs then laid it all out on a clean surface
GLP-1 RAs can also cause bloating and burping, partly from delayed stomach emptying (food sits and ferments longer in the gut) and perhaps changes in gut bacteria
Understanding the usual progress can help set realistic goals and keep motivation high
One is another sort of supplement altogether, and the other is a lifestyle modification