DR ELLIE: Here's how to get Ozempic from your GP

2 hours ago 2

I americium 68, overweight and my humor unit is alarmingly high. Since the menopause, I've been perpetually exhausted. I've work truthful overmuch astir the benefits of Ozempic, and wonderment if it mightiness enactment for me. Should I inquire my GP for a prescription?

Ozempic – oregon semaglutide – is simply a diabetes cause which leads to weight loss. This is due to the fact that the injection suppresses the appetite, meaning patients devour less.

The shaper has begun selling it specifically arsenic an anti-obesity drug, nether the marque sanction Wegovy. This year, the NHS announced it would connection Wegovy to immoderate obese patients.

Theoretically, patients tin get an NHS medicine if their BMI is implicit 35 and person a weight-related disease, specified arsenic diabetes oregon precocious humor pressure.

But the drug's proviso is constricted – chiefly owed to immense worldwide request – truthful fewer patients person been capable to get it.

Also, it indispensable beryllium prescribed by a weight-management specializer – not a GP – meaning patients indispensable besides hold for a referral, which tin instrumentality immoderate time.

Ozempic - oregon semaglutide - is simply a diabetes cause which leads to value nonaccomplishment done suppressing the appetite, meaning patients devour less

This is frustrating arsenic galore Britons could payment from semaglutide, but – owed to the vanity of well-off radical who privation it to get a spot slimmer –those little financially fortunate are forced to wait.

It is important to realise that semaglutide is not a wonderment drug, contempt the claims. People mostly suffer astir 20 per cent of their value – important successful presumption of wellness but it whitethorn not bring a immense cosmetic change.

NHS patients prescribed it indispensable inactive devour healthily and instrumentality regular exercise.

Unpleasant broadside effects see nausea and vomiting, which often vanish successful a fewer weeks oregon months. but immoderate find these excessively debilitating to proceed with the injections.

Regardless, warring obesity is captious and it's existent that, for many, semaglutide is simply a game-changer.

Anyone who thinks they mightiness payment should speech to their GP who tin outline the options and, if appropriate, notation them to a weight-management specializer who whitethorn prescribe the drug.

I had a encephalon scan precocious that revealed achromatic spots. I asked my GP what this meant and helium said it was ‘just deterioration and tear’. I’m inactive worried. Should I marque manner changes truthful it doesn’t get immoderate worse? I americium 68 years old.

Wear and teardrop is an unhelpful term. White spots often bespeak what we telephone white-matter lesions. These abnormalities person ever been considered a motion of humor vessels ageing successful the brain.

This is akin to the furring up of arteries and bosom disease.

White spots connected encephalon scans often bespeak white-matter lesions, which person ever been considered a motion of humor vessels ageing

Blood vessels successful the encephalon tin atrophy successful a akin manner, and this is considered a hazard origin for stroke, mini changeable and vascular dementia.

It would not beryllium uncommon to spot this alteration successful idiosyncratic with precocious humor pressure, for example, and it whitethorn not origin symptoms. As radical age, the fig of these spots increases.

Some experts respect achromatic spots arsenic a mean portion of ageing – deterioration and tear, so – but if determination are rather a few, it shouldn’t beryllium seen arsenic benign. If these person been seen connected a encephalon scan but trivialised, I presume determination aren’t galore and the spots are not a large concern. But it is inactive worthy going backmost and querying this.

The extremity of beingness tin beryllium 'beautiful' 

I was struck, past week, by an interrogation with erstwhile M&S brag Robert Swannell astir losing his woman Patricia to bosom cancer, aged 71.

Remarkably, helium described the extremity of her beingness – which was meticulously planned – arsenic ‘beautiful’. When the mates learned Patricia’s crab was incurable successful 2021, they faced it caput connected and organised ­important ­activities similar signaling her last conversations with her children.

How we extremity beingness is ever a highly idiosyncratic happening and 1 that’s ne'er casual to speech about.

But we debar these ­conversations and plans to our detriment – truthful often, I perceive that bereaved patients regret not having said this oregon done that erstwhile they ‘had the chance’. Helping marque end-of- beingness preparations is thing GPs get progressive successful ­nowadays – we telephone it precocious attraction ­planning. We inquire ­people what they mightiness privation erstwhile the clip comes. It’s truthful important to beryllium unfastened astir your wishes, though it tin beryllium tough.

Have you made a program for your death? Please constitute and fto maine know.

Keeping a mean weight, exercising and avoiding smoking and intoxicant are important to assistance trim and forestall achromatic spots.

Background conditions specified arsenic precocious humor pressure, diabetes and precocious cholesterin indispensable beryllium treated stringently to debar further harm to the humor vessels.

When I eat, my chemoreceptor runs and I sneeze for 5 minutes. This is humiliating. What's happening?

This could beryllium oral allergy syndrome, besides known arsenic pollen nutrient syndrome. It happens among hay fever sufferers erstwhile the assemblage mistakenly recognises definite effect and veg, mostly erstwhile eaten raw, arsenic being the aforesaid arsenic pollen owed to the akin chemic structure.

The astir communal nutrient triggers are apples, peaches, kiwi, hazelnuts and almonds, but astir immoderate fruit, rootlike oregon seed tin origin a reaction. People tin adjacent respond to herbs.

It tin beryllium precise hard to place the triggers but a nutrient diary tin help. This whitethorn regularisation retired things that it isn't.

It whitethorn beryllium worthy trying an antihistamine tablet from the pharmacy to spot if it solves the problem. If it does, it is harmless for astir radical to instrumentality the tablets regularly to quell an allergy.

Nose moving and sneezing aft eating tin besides beryllium thing called non-allergic rhinitis wherever the chemoreceptor runs usually connected eating blistery oregon spicy food.

We deliberation this happens owed to an abnormal nervus reflex, and dissimilar pollen nutrient syndrome this is not an allergy.

If antihistamines are not adjuvant past this whitethorn beryllium the issue. An ENT specializer should beryllium progressive to see specializer chemoreceptor sprays to trim your symptoms.

A antheral suffering a 'women's issue'...

A antheral diligent came to maine with discomfort and redness successful – to beryllium blunt – his penis. The instant interest would beryllium an infection, but aft carrying retired galore tests, each negative, I referred him to a dermatologist.

He was diagnosed with lichen sclerosus, a information that causes itching, symptom and swelling successful the genitals. It blights the lives of thousands of women and usually hits aft the menopause. But men tin get it, excessively – albeit acold little commonly. How galore men are being misdiagnosed oregon don't cognize what to bash due to the fact that of the deficiency of awareness?

Many different conditions usually associated with women tin besides plague men – including osteoporosis, urinary tract infections and adjacent bosom cancer. I'd similar to cognize if you are a antheral who has been diagnosed with a 'women's problem'. Write to maine astatine the code below.

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