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Certain features should prompt urgent specialist referral rather than a dietary approach: episodes occurring during fasting or overnight, neuroglycopenic symptoms (confusion, seizure, or loss of consciousness), unexplained weight change, or clinical features suggesting adrenal insufficiency or an insulin-secreting tumour (insulinoma)
PMID: 35054924
doi: 10.4103/2230-8210.374161
Transitioning off GLP-1s requires ongoing support, with specialized care between doctors visits to support healthy behaviors and weight maintenance
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