Drug interactions In theory, because lipoic acid supplementation may improve insulin-mediated glucose utilization (see Diabetes mellitus), there is a potential risk of hypoglycemia in diabetic patients using insulin or oral anti-diabetic agents (118)
It is not approved by the FDA or any regulatory authority for human or veterinary use
opt for a short walk instead If youre constipated, eat a wide variety of fibre sources (wholegrains, beans, lentils, fruits, vegetables, nuts, seeds) Inject in the evening if nausea is affecting your day If youve been vomiting for more than 24 hours, contact your clinician Speak to your doctor or prescribing physician if symptoms persist or become too uncomfortable If symptoms havent settled after several weeks at a stable dose, they may not settle on their own so its best to speak with your prescribing clinician or pharmacist
NICE recommends considering bariatric surgery for adults with a BMI of 40 kg/m or more, or 35 to 40 kg/m with significant comorbidities