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NICE guidance (NG28) recommends that patients starting GLP-1 receptor agonists like Ozempic should have: Baseline assessment including HbA1c, renal function, and body weight Regular monitoring of glycaemic control and tolerability Review at 6 months to assess treatment response (defined as HbA1c reduction of at least 11 mmol/mol and weight loss of at least 3% of initial body weight) Ongoing assessment of cardiovascular risk factors Patients with pre-existing conditions require particular consideration

One side effect that stood out more at higher doses was dysesthesia or changes in skin sensation , which were reported much more often at 9 mg and 12 mg

A self-management and self-care program that includes an understanding of home glucose monitoring, lifestyle changes and medication is critical

doi: 10.1155/2017/8270310 55