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Anxiety and mood changes can occur, particularly during rapid weight loss phases

[DOI] [PMC free article] [PubMed] [Google Scholar] 70.McLaughlin T, Peck M, Holst J & Deacon C Reversible hyperinsulinemic hypoglycemia after gastric bypass: a consequence of altered nutrient delivery

These usually occur during the dose-escalation phase and tend to diminish over time. Patients can improve tolerability by consuming smaller portions and avoiding high-fat or spicy meals. Dosing should start low and be increased gradually based on tolerance and clinical goals. Administration and Storage Considerations Injectable agents such as dulaglutide and semaglutide must be refrigerated before the first use

If prescribed after a free online consultation, Trulicity can be supplied through Pharmacy Planet as part of your personalised diabetes treatment plan