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Avoid eating for at least two hours before your evening injection, as food intake blunts growth hormone response

These issues and the need for training people to inject the drug as well as ongoing monitoring and prescribing requires the allocation of NHS resources to ensure the benefits of this NICE guidance can be fully realised. NICE recommendations Semaglutide (up to a maintenance dose of 2.4 mg once weekly) can be used, within its marketing authorisation, alongside a reduced-calorie diet and increased physical activity, as an option for reducing the risk of a major adverse cardiovascular event (that is, cardiovascular death, non-fatal myocardial infarction or non-fatal stroke) in adults with both: established cardiovascular disease (CVD), defined as at least 1 of the following: previous myocardial infarction previous ischaemic or haemorrhagic stroke symptomatic peripheral arterial disease (they have intermittent claudication with an ankle-brachial index of less than 0.85 at rest, or have had a peripheral arterial revascularisation procedure or an amputation because of atherosclerotic disease), and a body mass index (BMI) of at least 27 kg/m2 Visit Pulse Reference for details on 140 symptoms, including easily searchable symptoms and categories, offering you a free platform to check symptoms and receive potential diagnoses during consultations

Diamond et al

Adding any factor that might theoretically accelerate this progression seems unwise