Specifically, prolactin levels should be considered in obese individuals with typical hyperprolactinemia, including galactorrhea, reproductive or gonadal endocrine dysfunction (such as amenorrhea, oligomenorrhea, infertility, decreased libido, or erectile dysfunction), and symptoms suggestive of sellar lesions (such as persistent headaches, visual field defects, or cranial nerve involvement)
Moving forward, the field will need to balance technological ambition with responsible innovation
If fatigue worsens or doesn't improve by week 6, dose adjustment or medication switchingsuch as moving from oral to injectable semaglutide, or to tirzepatidemay help
doi: 10.1016/j.beem.2015.04.007 2 CarattiGMatthewsLPoolmanTKershawSBaxterMRayD
Step 6: Stop and reassess if symptoms occur if new symptoms or lab changes arise, pause the supplement and contact the prescriber before making other changes