Are your expectations realistic given the available evidence
Patients should be educated to recognise and report warning signs promptly, including: Seizure warning signs : unusual sensations, confusion, loss of consciousness, or convulsive movements Cardiovascular symptoms : chest pain, palpitations, severe dizziness, or shortness of breath Psychiatric changes : worsening depression, anxiety, agitation, panic attacks, or thoughts of self-harm Severe gastrointestinal symptoms : persistent vomiting, severe abdominal pain (which may indicate pancreatitis), or signs of dehydration Hypoglycaemia symptoms (if diabetic): tremor, sweating, confusion, or rapid heartbeat Medication adherence and technique should be reviewed regularly
In 44 patients with ALS, endogenous GLP-1 (and insulin and amylin) levels correlated with slower disease progression and inversely with the proinflammatory chemokine MCP-1, suggesting a potential protective link (169)
Volunteers were instructed to consume one capsule after dinner with a glass of water for 24 weeks, with 2 weeks of washout without supplement between the two 12-week cycles
doi:10.4239/wjd.v5.i2.146 105
However, it does not seem to affect the patients quality of life, muscle cramping, low blood pressure, breathing, or exercise performance [7]
