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Evangelia Athanasiou (Aristotle University of Thessaloniki) 278 Possible Uses of Urban Heritage for Social Cohesion The field of heritage faces growing pressures to demonstrate its benefits or contributions as funding declines and the sector is required to conform to results-oriented systems

[16] Contact your GP or diabetes team if you experience: Symptoms of hypothyroidism (persistent fatigue, weight gain, constipation, feeling cold, low mood) or hyperthyroidism (palpitations, tremor, anxiety, weight loss, heat intolerance, diarrhoea) Severe or persistent gastrointestinal symptoms such as nausea, vomiting, diarrhoea, or abdominal paincommon with Rybelsus but may require dose adjustment Signs of hypoglycaemia (shakiness, sweating, confusion, dizziness), particularly if taking Rybelsus with other diabetes medications Difficulty swallowing or persistent heartburn , which may indicate oesophageal irritation Any concerns about medication absorption or if you're unable to follow the dosing instructions New or worsening visual symptoms , as rapid improvement in blood glucose control may temporarily worsen diabetic retinopathy [1] [17] Seek urgent medical attention if you develop: Severe abdominal pain with or without vomiting (potential pancreatitis)stop taking Rybelsus immediately Symptoms of thyroid storm (very rare): high fever, severe agitation, rapid heart rate Signs of severe allergic reaction: facial swelling, difficulty breathing, severe rash Maintaining open communication with your healthcare team and attending scheduled monitoring appointments will help ensure safe and effective management of both your thyroid condition and diabetes whilst taking these medications together

Sachdeva, P

[DOI] [PMC free article] [PubMed] [Google Scholar] 79.Habib S.A., Saad E.A., Elsharkawy A.A., Attia Z.R

Initial research typically viewed the liver as the main location where metformin exerts its control over glucose production, utilizing both AMP-activated protein kinase (AMPK)-dependent and AMPK-independent pathways

In cases of Graves disease, treatment can include antithyroid medications such as methimazole or PTU, which impede thyroid hormone synthesis (Brandfon et al