Key factors influencing dose selection include: Treatment goals : Whether the primary aim is glycaemic control, weight reduction, or cardiovascular risk reduction Baseline HbA1c and blood glucose levels : Higher values may eventually require higher maintenance doses Body weight and BMI : Particularly relevant for weight management indications Renal function : Most GLP-1 medications (semaglutide, liraglutide, dulaglutide) do not require dose adjustment for kidney impairment, but exenatide and lixisenatide should be used with caution or avoided in severe renal impairment Concurrent medications : Especially other glucose-lowering agents that might increase hypoglycaemia risk Previous medication tolerance : History of gastrointestinal sensitivity influences titration speed Cardiovascular history : Some GLP-1 medications have proven cardiovascular benefits at specific doses Diabetic retinopathy status : Rapid improvement in blood glucose can temporarily worsen retinopathy, particularly with semaglutide [22] [23] Your doctor will typically schedule regular follow-up appointments during the initial months of treatment

You should look at getting screened for Coeliac if you have: Consistent gastrointestinal symptoms, such as diarrhea, constipation, nausea, cramping, bloating, pain, steatorrhea Weakness, lethargy, prolonged fatigue Vitamin & Mineral deficiencies and/or Iron deficiency anemia Delayed puberty (in children) or failure to thrive Unintentional weight loss Recurring and or severe mouth ulcers Skin rashes, e.g
Co-author Gabriel Frietze was clear on this
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Allele-specific reprogramming of cancer metabolism by the long non-coding RNA CCAT2