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The 4-day dietary recalls were evaluated with the Food Processor dietary assessment software program (ESHA Research, Salem, OR) to determine the average daily amount of kilocalories and macronutrient consumption of fat, carbohydrate, and protein in the diet at three different time points during the study
If you are experiencing problems with alcohol or substance use , you should: Contact your GP to discuss your concerns in a confidential, non-judgemental setting Access specialist addiction services through NHS referral pathways or organisations such as Turning Point, We Are With You, or Alcoholics Anonymous Consider evidence-based treatments including cognitive behavioural therapy, motivational interviewing, and where appropriate, licensed pharmacotherapies Visit NHS support pages for alcohol support (www.nhs.uk/live-well/alcohol-advice/alcohol-support) or drug addiction help (www.nhs.uk/live-well/addiction-support/drug-addiction-getting-help) Contact FRANK (www.talktofrank.com) for confidential drug information and advice If you are already taking a GLP-1 receptor agonist for diabetes or weight management and notice changes in your substance use patterns: Inform your prescribing clinician about any changes you observe Do not alter your medication regimen without medical supervision Continue with your prescribed treatment plan for your licensed indication Seek appropriate addiction support through established pathways if needed Important safety advice: Never obtain GLP-1 medications from unregulated sources or online pharmacies without proper medical oversight These medications require careful dose titration and monitoring for adverse effects Self-medication for addiction is potentially dangerous and may delay access to effective treatments Report any suspected side effects to the MHRA Yellow Card Scheme (yellowcard.mhra.gov.uk) When to seek medical attention: Call 999 for life-threatening symptoms Contact NHS 111 for urgent medical advice when your GP is unavailable Seek immediate medical help for severe, persistent abdominal pain (potential pancreatitis) Signs of allergic reaction (rash, difficulty breathing, facial swelling) Symptoms of severe hypoglycaemia if taking other diabetes medications Any concerning symptoms or medication side effects Whilst research into GLP-1 receptor agonists and addiction continues, patients deserve access to proven, evidence-based treatments
Why it matters: For patients with chronic joint pain, tendonitis, gut inflammation, or post-surgical inflammation, this means less swelling, better circulation, and faster repair
Prioritizing protein helps preserve muscle mass, while fiber-rich foods support blood sugar control and keep you feeling full longer
Aliquot into single-use volumes before freezing if long-term storage is required
