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The video version of this podcast can be found here: https://youtu.be/W0LL-1BwV3w?si=OT-GNCXaHoA7dcbs This podcast makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE. My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this video I will go through a National Patient Safety Alert released on 3.1.2024 by the Department of Health and NHS England on the shortage of GLP1 receptor agonists, touching on sections of the NICE guideline on type 2 diabetes as well as relevant pharmaceutical information, always focusing on what is relevant in Primary Care only.  I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.    There is a podcast version of this and other videos that you can access here:  Primary Care guidelines podcast:   ·      Redcircle: https://redcircle.com/shows/primary-care-guidelines ·      Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK ·      Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here:  • The Practical GP YouTube Channel:  https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk  The PDF document related to the safety alert on GLP- RA shortage can be found here: ·      https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAttachment.aspx?Attachment_id=104161 The safety alert on GLP- RA shortage can be found here: ·      https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=103245 The Central Alerting System Homepage can be found here: ·      https://www.cas.mhra.gov.uk/Home.aspx Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]  • Music provided by Audio Library Plus  • Watch: https://youtu.be/aBGk6aJM3IU (https://www.youtube.com/watch?t=0s&v=aBGk6aJM3IU)   • Free Download / Stream: https://alplus.io/halfway-through (https://www.youtube.com/redirect?event=video_description&q=https%3A%2F%2Falplus.io%2Fhalfway-through&redir_token=QUFFLUhqbVNpZlBNM0lCeDIxQzRkU29qUnJGQy15WEtTQXxBQ3Jtc0tuUUFSMkZwSEVuaHdUTWlYV21fZmpjWS1WRXI3R0hZU056MkpmRFpKdXdGYm1La3BlazhUemZ5SkVMTFdaWWRvSG9Ucy1neWpudTJ0MUIxNnl2NmhvR0lmdzduWXEwUUg0alduYkRNdjlWWTNsMnhzaw&v=aBGk6aJM3IU)   Transcript If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description. Hello and welcome, I am Fernando, a GP in the UK. In this episode I will go through a National Patient Safety Alert released on 3.1.2023 by the Department of Health and NHS England on the shortage of GLP1 receptor agonists, touching on sections of the NICE guideline on type 2 diabetes as well as relevant pharmaceutical information, always focusing on what is relevant in Primary Care only. If you want to access the safety alert website or the associated PDF document, the link is in the episode description. Right, let’s jump into it. You are probably aware that the supply of GLP-1 receptor agonists continues to be limited, with supplies not expected to return to normal until at least the end of 2024. The supply issues have been caused by an increase in demand for these products for licensed and off-label indications. The situation at the moment is that exenatide as Byetta® will be discontinued in March 2024. In addition, liraglutide as Victoza® continues to be out of stock and further stock is not expected until end of 2024. The supply of other agents such as injectable semaglutide as Ozempic® and Dulaglutide as Trulicity® may be unreliable and the shortages may cause significant issues. So, what is the solution? Well, oral semaglutide has come to the rescue. Semaglutide as Rybelsus® tablets are now available in sufficient quantities to support initiation of GLP-1 RA for type 2 diabetes in line with NICE guidance.  So let’s remind ourselves of what NICE recommends for type 2 diabetes.  NICE says that if triple therapy with metformin and 2 other oral drugs is not effective, not tolerated or contraindicated, we can consider triple therapy by switching one drug for a GLP‑1 receptor agonist if: ·      The BMI is 35 or higher and there are psychological or medical problems associated with obesity. We will adjust the BMI to 32.5 for people from Black, Asian and other minority ethnic groups or ·      For lower BMIs if: o  insulin would have occupational implications or o  weight loss would benefit other significant comorbidities.   NICE also says that we should only ...

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When it comes to weight loss, there are various methods and medications available to help individuals achieve their goals. One such medication that has gained popularity in recent years is Semaglutide. Originally developed as a treatment for type 2 diabetes, Semaglutide has also been found to be effective in aiding weight loss. However, many individuals who are considering taking Semaglutide for weight loss may wonder if they can still consume alcohol while on this medication.

Alcohol and Semaglutide: What You Need to Know

Before diving into whether it is safe to drink alcohol while taking Semaglutide, it is important to understand how this medication works. Semaglutide belongs to a class of drugs known as glucagon-like peptide-1 (GLP-1) receptor agonists. These medications work by stimulating insulin production, reducing appetite, and slowing down gastric emptying, all of which can contribute to weight loss.

While Semaglutide is generally well-tolerated, it is essential to consider its potential interactions with alcohol. Alcohol consumption can have various effects on the body, including impacting blood sugar levels, liver function, and metabolism, all of which can be influenced by Semaglutide. Therefore, it is crucial to be mindful of how alcohol may interact with this medication.

One concern with consuming alcohol while on Semaglutide is the risk of hypoglycemia, or low blood sugar levels. Semaglutide can lower blood sugar levels, and alcohol can further exacerbate this effect. This can be particularly dangerous for individuals with diabetes or those who are at risk for hypoglycemia. It is essential to monitor blood sugar levels closely when drinking alcohol while on Semaglutide.

Effects of Alcohol on Weight Loss with Semaglutide

Another consideration when it comes to drinking alcohol on Semaglutide is its potential impact on weight loss. Alcohol is high in calories and can contribute to weight gain if consumed in excess. This can counteract the weight loss benefits of Semaglutide and make it harder to achieve desired results. Additionally, alcohol can lower inhibitions and lead to overeating, further hindering weight loss progress.





Furthermore, alcohol can affect liver function, which is essential for metabolizing medications like Semaglutide. Drinking alcohol while on Semaglutide may impair the liver’s ability to process the medication properly, potentially reducing its effectiveness. This can impact the overall weight loss outcomes and may pose risks to health.

It is also essential to consider the potential side effects of Semaglutide when combined with alcohol. Both Semaglutide and alcohol can cause gastrointestinal issues such as nausea, vomiting, and diarrhea. Combining the two may increase the risk of experiencing these side effects, making it uncomfortable and unpleasant for individuals taking this medication.

Guidelines for Drinking Alcohol on Semaglutide

While the interaction between alcohol and Semaglutide may pose risks, some individuals may still choose to consume alcohol in moderation while on this medication. If you decide to drink alcohol while taking Semaglutide, it is essential to do so responsibly and consider the following guidelines:

1. Consult with your healthcare provider: Before consuming alcohol while on Semaglutide, it is crucial to discuss this with your healthcare provider. They can provide personalized advice based on your medical history and help you understand the potential risks and benefits.

2. Monitor blood sugar levels: If you have diabetes or are at risk for hypoglycemia, it is important to monitor your blood sugar levels closely when drinking alcohol. Be aware of the signs of low blood sugar and take necessary precautions to prevent complications.

3. Drink in moderation: If you choose to consume alcohol while on Semaglutide, do so in moderation. Avoid binge drinking and aim to limit the amount of alcohol you consume to minimize the risks of interactions with the medication.

Conclusion

In conclusion, while it is possible to drink alcohol while taking Semaglutide for weight loss, it is essential to do so responsibly and be mindful of potential risks and interactions. Alcohol can impact blood sugar levels, liver function, and weight loss progress, all of which can affect the effectiveness of Semaglutide. If you choose to consume alcohol while on this medication, it is important to consult with your healthcare provider, monitor your blood sugar levels, and drink in moderation to ensure your safety and well-being.

Overall, the key is to make informed decisions and prioritize your health and weight loss goals when considering alcohol consumption on Semaglutide. By being aware of the potential risks and taking necessary precautions, you can navigate this combination effectively and continue working towards achieving your desired outcomes.

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