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People with diabetes, particularly severe diabetes, tend to lose less weight with GLP-1s than people without diabetes, so microdosing is less likely to be as effective, though their dose should only be increased as they tolerate it. George said that in her professional opinion, microdosing is a potential option for patients with smaller amounts of weight to lose or as a bridge to start, or wean off, regular GLP-1 medications

Patients are advised to: Stop smoking smoking impairs circulation and worsens nerve damage Limit alcohol intake excessive alcohol is directly neurotoxic Maintain a healthy weight obesity contributes to poor glycaemic control Engage in regular exercise improves circulation and glucose metabolism Practice meticulous foot care daily inspection, appropriate footwear, and prompt treatment of injuries For symptomatic relief of painful diabetic neuropathy , NICE recommends a stepwise approach to pharmacological treatment

Prescription Ozempic, Rybelsus and Wegovy all qualify for the Medical Expense Tax Credit

(The others arent far behind