This represents growth of over 400% in three years, though prescriptions continue to face supply constraints and affordability barriers
Adderall, being a stimulant, could potentially alter glycemic control in diabetic patients
The Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) tool was used to assess the certainty of the evidence for the two primary biochemical outcomesserum vitamin B12 concentration increase and homocysteine reductionacross all included studies, and separately for randomised controlled trials (RCTs) and observational studies
A strong GLP-1 program should include proper screening, individualized dosing, follow-up, muscle-preservation guidance, side-effect management, and realistic maintenance planning
much lower at community doses Vomiting up to 36% at high doses Diarrhea 23-26% Constipation 17-19% Fatigue 11-13% Pancreatitis risk trials flagged severe abdominal pain for discontinuation and evaluation Gallbladder issues rapid weight loss increases gallstone risk Thyroid C-cell tumors same boxed warning as semaglutide (animal studies) GI side effects were more intense than semaglutide in trial data due to the dual mechanism