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Track your strength, not just the scale The scale will move on a GLP-1

Contact your GP promptly if you experience: Symptoms of hyperthyroidism (rapid heartbeat, tremor, anxiety, weight loss) or worsening hypothyroidism symptoms (fatigue, weight gain, cold intolerance) Severe or persistent gastrointestinal symptoms Signs of hypoglycaemia, particularly if taking other diabetes medications such as sulfonylureas or insulin (which may require dose reduction when starting Rybelsus) Severe abdominal pain (potential pancreatitis) Visual changes (potential diabetic retinopathy progression) Dehydration due to gastrointestinal side effects, which could affect kidney function Never adjust doses of either medication independently

Castillo, J

Levodopa and dopamine agonists (common PD medications) seldom help

Immediate steps include: File a police report if medication was stolen (required for insurance claims) Contact travel insurance provider if coverage includes medication replacement Reach out to the medication manufacturer's international patient support line Consult with a local physician who may be able to prescribe a temporary supply If medication is confiscated by customs officials, patients should request written documentation explaining the reason and ask about appeal processes