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This rebound is not only psychologically traumatic, but physically exhausting because these changes are accompanied by complex hormonal shifts, including a decline in leptin and an increase in ghrelin, as well as disruptions in neuronal signalling

The visual loss in NAION characteristically affects central or inferior visual fields, though patterns vary

Both are the same drug, the same molecule, and use the same titration ladder

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Whilst coeliac disease is not a contraindication to Wegovy, understanding how the medication works, its gastrointestinal side effects, and how these may overlap with coeliac symptoms is essential for safe and effective treatment