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Ivm offers compounded injectable GLP-1s only, and will prescribe branded oral options like the Wegovy pill once FDA-approved

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Compounded semaglutide requires refrigeration and has a limited shelf life once reconstituted or opened

Dietary management forms the cornerstone of treatment and should be implemented under dietitian supervision: Reduce simple carbohydrates : Avoid refined sugars, white bread, pastries, and sugary beverages that trigger rapid glucose absorption Increase complex carbohydrates : Choose wholegrain products, vegetables, and legumes with lower glycaemic indices Include protein and healthy fats : These macronutrients slow gastric emptying and glucose absorption Eat smaller, frequent meals : 56 small meals daily rather than 3 large meals Avoid liquid calories : Particularly fruit juices and sweetened drinks Limit alcohol : Alcohol inhibits gluconeogenesis and may precipitate hypoglycaemia Pharmacological interventions may be considered when dietary measures prove insufficient