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Important considerations for blood sugar monitoring: If you have diabetes and take Wegovy alongside other glucose-lowering medications (particularly insulin or sulfonylureas), your diabetes medications may need adjustment to prevent hypoglycaemia as your weight decreases and insulin sensitivity improves Symptoms of hypoglycaemia include shakiness, sweating, confusion, hunger, irritability, and palpitationsif you experience these, check your blood glucose if possible and consume 15-20g of fast-acting carbohydrate (such as glucose tablets or fruit juice) as advised by NHS guidance Regular blood glucose monitoring as advised by your diabetes team is essential during Wegovy treatment Eating smaller, more frequent meals with adequate protein can help maintain stable blood glucose levels throughout the day If you're concerned about blood sugar levels or experiencing symptoms that might be related to glucose fluctuations whilst taking Wegovy, contact your GP or diabetes specialist nurse for assessment and guidance

Reduce alcohol consumption Alcohol is dehydrating and can quickly reverse your results

Reduced alcohol intake means fewer empty calories competing with nutrient-dense foods

Each meal should contain 200 to 400 calories rather than 600 to 800

Medications know to cause bone marrow suppression (e.g., myelosuppressive antineoplastic agents) may result in a blunted or impeded response to methylcobalamin, vitamin B12 therapy

We adjust doses slowly, use pauses strategically when needed, and evaluate whether appetite suppression is causing unintended under nutrition