The math side by side The 10mg vial with 2mL of water produces the same concentration that a 5mg vial with 1mL produces: 5mg/mL
NICE-approved options include orlistat for adults with BMI 30 kg/m (or 28 kg/m with comorbidities), injectable semaglutide (Wegovy) for eligible patients with BMI 35 kg/m (or 30 kg/m with weight-related comorbidities), and liraglutide (Saxenda) where commissioned by local NHS services
Patients should be counseled that fiber without sufficient hydration can paradoxically worsen constipation
Some describe waiting weeks beyond their normal cycle, only to have menstruation arrive in full force later
Additionally, alcohol can exacerbate gastrointestinal side effects such as nausea and may contribute to dehydration if combined with vomiting or diarrhea caused by the medication
Currently, all semaglutide formulations remain under patent protection by Novo Nordisk, with expiration dates anticipated as early as 2026 in Canada for Ozempic