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This is particularly important if you're experiencing: Persistent insomnia lasting more than three months Symptoms of sleep apnoea (loud snoring, gasping or choking during sleep, excessive daytime sleepiness) Significant anxiety or depression alongside sleep disruption Night sweats that don't respond to lifestyle changes Your GP can help identify whether your sleep problems are related to perimenopause, another underlying condition, or both and can discuss treatment options including HRT, medication and referral to specialist services

[36] Palis J

Edema, tendinopathy, hormonal changes, and manual activities can lead to increased nerve compression, sometimes causing pain, as in the case of tendinopathy

A prolonged period of observation and treatment for overdose symptoms may be necessary due to the long half-life of semaglutide of about one week