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Medical World Dr Rana Sanjay, Patna New City (2025)

19/07/2025

🤔What Is ?
👉Inflammation is a process by which your body's white blood cells and the things they make protect you from injury or infection from outside invaders, such as bacteria and viruses.
🤔How inflammation works
👌Chemicals from your body's white blood cells enter your blood or tissues. This raises the blood flow to the area of injury or infection. It can cause redness and warmth. Some of the chemicals cause fluid to leak into your tissues, resulting in swelling. This protective process may trigger nerves and cause pain.

Higher numbers of white blood cells and the things they make inside your joints can cause irritation, swelling of the joint lining, and loss of cartilage (cushions at the end of bones) over time.
🤔Inflammation Types
🫵Acute inflammation

This type is short-lived and goes away within hours or days. It's a response to an illness or injury. Your body sends inflammatory cells to the site of the problem so you can start recovering. Examples of things that can trigger acute inflammation include:
Cuts
Viral illnesses such as the flu
Bacterial infections such as strep throat
🤔Chronic inflammation

Chronic inflammation can last months or years, even after the thing that triggered the inflammation is gone. In certain diseases, your body's defense system -- your immune system -- triggers inflammation when there are no invaders to fight off. This process is involved in some types of arthritis, for instance. In these autoimmune diseases, your immune system acts as if regular body tissues are infected or somehow unusual and attacks them, causing damage.
🤔 Inflammation Causes
If you have acute inflammation, you may know exactly what caused it: an injury or a bacterial or viral illness. The causes of chronic inflammation can be harder to figure out. Among the things that can cause chronic inflammation are:

Lack of exercise
Chronic stress
Obesity
Too many unhealthy microbes in your gut
Too few healthy microbes in your gut
Poor sleep
Exposure to toxins, such as air pollution or dangerous chemicals
To***co use
Drinking too much alcohol
🤔Inflammatory diseases

Common inflammatory conditions include:

Neurological conditions such as Alzheimer’s disease and Parkinson's
Autoimmune disorders such as rheumatoid arthritis, lupus, and psoriasis
Gastrointestinal conditions such as Crohn's disease, irritable bowel syndrome, and ulcerative colitis
Mental health disorders such as depression and anxiety
Cardiovascular issues such as high blood pressure and heart disease
Lung disease such as asthma and chronic obstructive pulmonary disorder (COPD)
Metabolic disorders such as type 2 diabetes
Certain cancers.
🤔Inflammation and arthritis

Some types of arthritis are the result of inflammation, such as:
Rheumatoid arthritis
Psoriatic arthritis
Gout
Osteoarthritis -- the most common type -- is a degenerative disorder, not an autoimmune disease. Think of it as a "wear and tear" issue.
🤔Inflammation Symptoms
A specific part of your body might be affected, or your symptoms might be more general.

Inflammation in joints

When a joint is affected, the symptoms include:

Redness
A swollen joint that may be warm to the touch
Joint pain
Joint stiffness
A joint that doesn’t work as well as it should Often, you’ll have only a few of these symptoms.
Flu-like symptoms

You might have symptoms that leave you generally feeling unwell. They can include:

Fever
Chills
Fatigue/loss of energy
Headaches
Loss of appetite
Muscle stiffness
Other symptoms

You also might have:

Pain in your belly
Rash on your skin
Diarrhea, constipation, or acid reflux
Sores in your mouth
Weight gain or loss
Depression, anxiety, or other mood disorders
🤔How inflammation affects your internal organs

Other symptoms of chronic inflammation depend on which organs are affected. For example:

Inflammation of your heart (myocarditis) may cause shortness of breath or fluid buildup.
Inflammation of the small tubes that take air to your lungs may cause shortness of breath.
Inflammation of your kidneys (nephritis) may cause high blood pressure or kidney failure.
You might not have pain with an inflammatory disease because some organs don’t have many pain-sensing nerves.
🤔How Is Inflammation Diagnosed?
If you seem to have chronic inflammation, your doctor will ask about your medical history and do a physical exam, focusing on:

The pattern of painful joints and whether there are signs of inflammation
Whether your joints are stiff in the morning
Any other symptoms
They’ll also look at the results of X-rays and blood tests for biomarkers such as:

C-reactive protein (CRP)
Erythrocyte sedimentation rate (ESR)
Your doctor will look for ways to treat your inflammation symptoms and also any underlying causes.
Inflammation Treatment
Treatment for diseases that cause chronic inflammation may include medications, rest, exercise, and surgery to correct joint damage. Your treatment plan will depend on several things, including your type of disease, your age, the medications you’re taking, your overall health, and how severe the symptoms are.

The goals of treatment are to:

Correct, control, or slow down the disease process
Avoid or change activities that aggravate pain
Ease pain through pain medications and anti-inflammatory drugs
Keep joint movement and muscle strength through physical therapy
Lower stress on joints by using braces, splints, or canes as needed

🤔Can I reduce inflammation in my body quickly?
🫵For acute inflammation, you can:

Rest the affected part of your body
Apply ice to the spot that's sore
Keep any wounds -- cuts, scrapes, burns -- clean
There's no quick fix for chronic inflammation. But certain habits can help you manage it. Regular exercise can have anti-inflammatory benefits. You also can try eating more foods high in natural antioxidants.
🤔What does inflammation feel like?

🫵When it affects your joints, inflammation can cause pain and stiffness. The area might be red, warm to the touch, or swollen.
Sometimes inflammation causes symptoms that can feel like the flu -- headache, fatigue, fever, chills, or achy muscles.
🤔What are the most inflammatory foods?

There's no 10 Most Wanted List of inflammatory foods. But things you may want to avoid or limit include:

Red meat
Processed meats
Store-bought baked goods such as cakes, pies, brownies, and cupcakes
Bread and pasta made from white flour
Fried foods
Drinks sweetened with sugar
Foods with added sugar, such as jam or syrup
Foods with trans fats, such as margarine, microwave popcorn, and nondairy creamer
🤔Medications for inflammation

Many drugs can ease pain and swelling. They also may prevent or slow inflammatory disease. Doctors often prescribe more than one. The medications include:

Nonsteroidal anti-inflammatory drugs (NSAIDs, such as aspirin, ibuprofen, or naproxen)
Corticosteroids (such as prednisone)
Antimalarial medications (such as hydroxychloroquine)
Disease-modifying antirheumatic drugs (DMARDs), including azathioprine, cyclophosphamide, leflunomide, methotrexate, and sulfasalazine
Biologic drugs such as abatacept, adalimumab, certolizumab, etanercept, infliximab, golimumab, rituximab, and tocilizumab
Some of these also are used to treat conditions such as cancer or inflammatory bowel disease, or to prevent organ rejection after a transplant. But when chemotherapy types of medications (such as methotrexate or cyclophosphamide) are used to treat inflammatory diseases, they tend to have lower doses and less risk of side effects than when they’re prescribed for cancer treatment.

If your doctor prescribes any medication, it’s important that you meet with them regularly so they can watch for side effects.
✒️🩺 Lion DR RANA SANJAY PRATAP SINGH Dr Rana SP Singh, senior physician and diabetologist Patna Bihar India 🪷
DC - FIRST AID EDUCATION AND EMERGENCY RELIEF, LIONS CLUB INTERNATIONAL DISTRICT 322E

18/07/2025

🤔The approach to diabetes in young people (both Type 1 and Type 2) involves a combination of lifestyle modifications, medication, and close monitoring, with a strong emphasis on education and support for both the young person and their family. Early diagnosis and intervention are crucial for preventing long-term complications.
Type 1 Diabetes (T1D):
👉Insulin Therapy:
Insulin is essential for managing T1D and must be administered via injections or an insulin pump.
👉Blood Glucose Monitoring:
Regular monitoring of blood glucose levels is crucial to adjust insulin dosages and prevent both hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar).
👉Lifestyle Management:
A healthy diet, regular physical activity, and weight management are important for overall health and blood sugar control.
👉Education and Support:
Young people and their families need comprehensive education about T1D, including how to manage insulin, monitor blood sugar, recognize and treat hypo/hyperglycemia, and understand the long-term implications of the disease.
👉Continuous Glucose Monitoring (CGM):
CGM devices can provide real-time glucose readings, which can be particularly helpful for young children and those at risk of hypoglycemia.
Type 2 Diabetes (T2D):
👉Lifestyle Changes:
Healthy eating, increased physical activity, and weight loss are fundamental to managing T2D in young people.
👉Metformin:
Metformin is often the first-line medication for T2D in young people, but it may need to be combined with insulin, especially in cases of significant hyperglycemia or ketoacidosis.
👉Insulin:
Insulin may be necessary to achieve adequate blood glucose control, especially in the initial stages or if lifestyle changes and metformin are not sufficient.
👉Other Medications:
Other medications, such as GLP-1 agonists, may be considered in some cases.
👉Close Monitoring:
Regular monitoring of blood glucose, HbA1c, and other relevant parameters (e.g., blood pressure, lipids) is essential.
👉Multidisciplinary Approach:
Management of T2D in young people often requires a multidisciplinary team, including pediatric endocrinologists, dietitians, nurses, and mental health professionals.
👉Addressing Comorbidities:
T2D in young people is often associated with other health issues, such as obesity, high blood pressure, and dyslipidemia, which also need to be addressed.
👉Individualized Approach:
Treatment plans should be individualized based on the specific needs and circumstances of each young person.
General Considerations for Both Types:
👉Early Diagnosis:
Early diagnosis and intervention are crucial to prevent or delay the onset of long-term complications.
👉Family Involvement:
Family involvement is essential for supporting the young person with diabetes and ensuring adherence to treatment plans.
👉Psychological Support:
Diabetes can have a significant impact on a young person's mental and emotional well-being, so psychological support is often needed.
👉Transition to Adult Care:
As young people with diabetes transition to adult care, it is important to ensure a smooth and seamless handover to adult diabetes specialists.
✒️🩺 Lion DR RANA SANJAY PRATAP SINGH (Dr Rana SP Singh senior physician and diabetologist Patna Bihar🇮🇳 India)
🥇DC 🪷FIRST AID EDUCATION AND EMERGENCY RELIEF LIONS CLUB INTERNATIONAL DISTRICT 322E

16/07/2025

India is often referred to as the ‘Diabetes Capital of the World’, as it accounts for 17%percent of the total number of diabetes patients in the world. There are currently close to 80 million people with diabetes in India and this number is expected to increase to 135 million by 2045.
Diabetes is a medical condition that is caused due to insufficient production and secretion of insulin from the pancreas in case of Type-I diabetes and defective response of insulin for Type-2 diabetes. Under normal body circumstances, blood glucose levels are tightly controlled by insulin, a hormone produced by the pancreas. Insulin lowers the blood glucose level.

When the blood glucose elevates (for example, after eating food), insulin is released from the pancreas to normalize the glucose level. In patients with diabetes, the absence or insufficient production of insulin causes hyperglycemia.
Diabetes is primarily a lifestyle condition that has increased alarmingly across all age groups in India, and the prevalence among the younger population has also increased above 10%.

The prevalence of diabetes in India has increased by 64 percent over the quarter-century, says a November 2017 report by the Indian Council for Medical Research, Institute for Health Metrics and Evaluation, and the Public Health Foundation of India.
About 98 million Indians could have diabetes by 2030 — these projections come from the International Diabetes Federation and the Global Burden of Disease project.

🤔Why Indians are more prone to diabetes
👉The current exponential rise of diabetes in India is mainly attributed to lifestyle changes. The rapid change in dietary patterns, physical inactivity, and increased body weight, especially the accumulation of abdominal fat are some of the primary reasons for increased prevalence.

Ethnically, Indians seem to be more prone to diabetes as compared to the Caucasians, although the precise mechanisms are not well known.

The epidemic increase in diabetes in India along with various studies on migrant and native Indians clearly indicate that Indians have an increased predilection to diabetes which could well be due to a greater genetic predisposition to diabetes in Indians.

At the same time, the increased ‘westernization’, especially in the metros and the larger cities, has led to a drastic change in our lifestyle with changes in our traditional diets and decrease in physical activity.

With the increasing availability of machines to do our work, there’s also a substantial drop in day-to-day activities. The rural migration to urban areas also does play a role. Stress, of course, does play a role, but it’s difficult to quantify.

Currently, India is undergoing a rapid epidemiological transition with increased urbanization. The current urbanization rate is 35% compared to 15% in the 1950’s and this could have major implications on the present and future disease patterns in India with particular reference to diabetes and coronary artery disease.

Environmental and lifestyle changes resulting from industrialization and migration to urban environments from rural settings may be responsible to a large extent for this epidemic of Type 2 diabetes in Indians.

Obesity, especially central obesity and increased visceral fat due to physical inactivity, and consumption of a high-calorie/high-fat and high sugar diets, thus become major contributing factors.

Another factor that is not under our control is that we Indians have a greater degree of insulin resistance which means our cells do not respond to the hormone insulin. And when compared to Europeans, our blood insulin levels also tend to rise higher and more persistently when we eat carbohydrates.

Managing Diabetes

India has a challenge to face undoubtedly. However, medical experts feel that timely detection and right management can go a long way in helping patients lead a normal life.

Though a chronic medical condition, Diabetes can be curbed at the initial level by introducing lifestyle changes and controlled after its incidence through medicines in early stages and administration of external insulin in advanced stages. But it would not be wrong to say that it cannot be cured completely and lasts a lifetime.

An individual diagnosed with diabetes should adopt lifestyle changes which include maintaining ideal body weight, regular physical activity, cessation of to***co smoking, stopping/ minimum alcohol intake. Beyond that, regular visits to the doctor are important to assess sugar control and assessment/ prevention of complications related to the disease.
✒️🩺 Lion DR RANA SANJAY PRATAP SINGH (Dr Rana SP Singh senior physician and diabetologist Patna Bihar India 🪷)
🥇DC - FIRST AID EDUCATION AND EMERGENCY RELIEF LIONS CLUB INTERNATIONAL DISTRICT 322E
🥇Diabetes chairperson- LIONS CLUB OF PATLIPUTRA AASTHA

15/07/2025

🤔Did you know that diabetes not only affects your physical health but your mental well-being as well?

👉Diabetes is a lifestyle disease that happens due to a lack of insulin in the body. Insulin is a hormone made by the pancreas. However, in people with diabetes, the pancreas does not produce adequate insulin, thereby leading to high blood sugar levels. The condition can also happen due to insulin resistance in the body.

👌The intersection of mental health and diabetes
Studies have shown that diabetes can affect your mental health and lead to stress, anxiety, depression and schizophrenia. Frequent mood disturbances can also have a negative impact on your quality of life. Although managing mental health conditions can be challenging, taking the prescribed medication and adhering to a diabetic-friendly lifestyle can make a huge difference.

👌Importance of addressing mood and blood sugar
Individuals with diabetes can experience frequent changes in their mood, and this can make things difficult for them and their loved ones. Moreover, if left untreated or unaddressed, these mood swings can increase the risk of developing depression. Therefore, if you are a diabetic, it is important to address the condition at the earliest to prevent associated health issues.

👌Connection between mood and blood sugar
High or low blood sugar levels can lead to frequent mood swings. People with high blood sugar levels often feel angry, tense, sad, nervous, and tired. On the other hand, low blood sugar levels can cause confusion, irritability, nervousness, and tiredness in many. Since high and low blood sugar levels can affect your mental and physical well-being, it is important to monitor the readings frequently. In case you notice fluctuations throughout the day, consult your doctor without delay.

👌Stress and its impact on blood sugar
Stress can have a negative impact on your blood sugar levels. Excessive stress can cause insulin resistance in the body and increase glucose levels in the blood, thus leading to diabetes. Stress can also lead to chronic hyperglycaemia or elevated blood sugar levels for a long period. Chronic hyperglycaemia is a severe condition that can affect different organs in the body, such as the kidneys, eyes, heart, and nerves, over time.

👌Emotional states and glucose levels
Studies have shown that emotional states and blood glucose levels are interconnected. Frequent mood swings or feelings of anger, depression, stress, anxiety and sadness can fluctuate your blood glucose levels and increase the risk of diabetes and associated health complications. On the other hand, unstable blood glucose levels, both high and low blood sugar, can affect your emotional well-being and make you feel stressed, agitated, irritable, anxious and depressed.

👌Role of hormones in blood sugar regulation
Stress and anxiety trigger the release of stress hormones, such as cortisol and adrenaline, in the body. While these hormones help your body respond to stress, they cause insulin resistance at the same time. Therefore, if you are stressed out for long, your body is unable to process the insulin made by the pancreas. This increases insulin levels in the blood over time and leads to diabetes.

👌 and
High levels of mental stress can hinder the effective functioning of the insulin-producing beta cells in the pancreas. This prevents them from making adequate amounts of insulin in the body, thus increasing the risk of type 2 diabetes. Moreover, stress promotes the release of stress hormones in the body. These hormones cause insulin resistance and contribute to increased blood sugar levels.

👌Understanding stress response
When you are stressed out, a series of psychological and physiological changes happen in the body. These include rapid breathing, changes in blood pressure, cold sweats, trembling, dilated pupils, poor digestion, flushing of skin, etc. This is how your body’s stress response works.

Although the work of your body’s stress response is to boost your energy levels and help you deal with stressful situations, chronic stress can lead to anxiety, depression, metabolic disorders, heart conditions, headaches, gastrointestinal conditions and more. It can also increase your blood glucose levels and increase the risk of diabetes.

👌Stress-related hyperglycaemia
This is a condition that happens to people without existing diabetes. When a non-diabetic has high blood sugar levels of over 180mg/dL, it is termed stress-related hyperglycaemia. The condition causes a short-term rise in blood glucose levels. Stress-related hyperglycaemia usually happens due to physical stress, psychological stress, and illness.

👌Chronic stress and diabetes risk
According to experts, chronic stress can increase the risk of type 2 diabetes. When stressed out for long, your adrenal glands release high amounts of stress hormones, such as cortisol and adrenaline, into the bloodstream. High levels of these stress hormones can prevent the efficient functioning of the insulin-producing cells in the pancreas, thus leading to type 2 diabetes.

👌Anxiety and blood sugar
Research has shown that there is a strong connection between anxiety and diabetes. However, stress and anxiety can affect people differently. While some may notice a spike in their blood glucose levels, for others, the blood sugar levels drop below the normal range of 70mg/dL and 100mg/dL.

🩺🥇Renowned Dr Rana SP Singh senior physician and diabetologist Patna Bihar 🇮🇳India said 👉Effects of anxiety on insulin sensitivity
Anxiety can lower your insulin sensitivity and make you prone to diabetes. Low insulin sensitivity is also referred to as insulin resistance. If you have low insulin sensitivity, the cells of your body will not be able to use the available insulin effectively. This causes blood glucose levels to rise over time. In this case, you will have to take the prescribed medication or insulin injections to manage your blood glucose levels.

Conclusion
To sum up, there is a strong connection between mental health and diabetes. Mental health issues are common among diabetics, so anyone with diabetes may experience stress, anxiety and frequent mood swings. Also, chronic stress and anxiety can increase the risk of diabetes in many. Diabetes is a severe condition, and constantly high glucose levels can harm different organs in your body over time. Therefore, it is important to address the condition at the earliest and consult a doctor for the right medication and care.
✒️🩺 Dr RANA SANJAY PRATAP SINGH ( Dr Rana SP Singh senior physician and diabetologist Patna)
🥇DC - FIRST AID EDUCATION AND EMERGENCY RELIEF LIONS CLUB INTERNATIONAL DISTRICT 322E (2025-26)
🥇Diabetes chairperson- LIONS CLUB OF PATLIPUTRA AASTHA

12/07/2025

🤔What is ?
👉Wegovy is used to help weight loss and maintain weight loss long-term in patients with obesity or who are overweight and have weight-related medical problems. Wegovy works by reducing appetite and slowing the gut down, so you eat less, which results in weight loss and helps with weight management. Wegovy is also used to reduce the risk of heart attacks, strokes, and cardiovascular death in adults with cardiovascular disease and who are obese or overweight.

Wegovy is a prescription medicine given as an injection once-a-week given under the skin. This medicine should be used together with a decreased-calorie meal plan and increased physical activity to help weight management.

Wegovy contains semaglutide, which is the same active ingredient in Ozempic and , therefore these products should not be used together. Ozempic (subcutaneous weekly injection) and Rybelsus (once-a-day tablet) are used to lower blood sugar levels for type two diabetic patients. Ozempic is also used to lower the risk of major cardiovascular events for some type 2 diabetic patients.
🤔How does Wegovy work?
👉Wegovy is a man-made version of GLP-1, a naturally occurring hormone in the body that acts in several areas in the brain to regulate food intake. When Wegovy activates the GLP-1 receptors in the brain, this lowers appetite and slows how quickly the stomach empties, so you feel fuller for longer and eat less, which leads to weight loss. Wegovy (semaglutide) mechanism of action (MOA) is a GLP-1 receptor agonist.
🤔Who can use Wegovy?
Wegovy is an anti-obesity medicine that is FDA-approved to reduce excess body weight and maintain weight reduction long-term in:

adults and patients over 12 years old with obesity
adults who are overweight and have a weight-related medical problem (e.g., blood pressure, type 2 diabetes, or high cholesterol)
Wegovy is also FDA-approved to reduce the risk of major adverse cardiovascular events such as cardiovascular death, non-fatal myocardial infarction, or nonfatal stroke in:

adults with established cardiovascular disease and either obesity or overweight
This injection should be used in addition to a reduced-calorie diet and increased physical activity.
🤔Before taking this medicine
👉You should not use this medicine if you are allergic to it or if you have:

multiple endocrine neoplasia type 2 (tumors in your glands);
a personal or family history of medullary thyroid carcinoma (a type of thyroid cancer); or diabetic ketoacidosis (call your doctor for treatment).
Tell your doctor if you have ever had:

a stomach or intestinal disorder;
pancreatitis;
kidney disease;
are planning surgery or other procedure that uses anesthesia or deep sedation;
eye problems caused by diabetes (diabetic retinopathy);
have or have had depression or suicidal thoughts, or other mental health issues.
In animal studies, semaglutide caused thyroid tumors or thyroid cancer. It is not known whether these effects would occur in people. Ask your doctor about your risk.
🤔How to inject Wegovy?
Remove the pen cap when you are ready to inject.
To inject Wegovy, push the pen firmly against the skin and hold until the yellow bar has stopped moving.
If the yellow bar does not start moving, you should press the pen more firmly against your skin.
You will hear two clicks during the injection. Click 1 is when the injection has started, and click 2 when the injection is still ongoing.
Do not remove the pen from your skin before the yellow bar in the pen window has stopped moving. If you remove the needle earlier, you may not get your full dose.
If the yellow bar does not start moving or stops during the injection, contact your healthcare provider or Novo Nordisk at Wegovy.com or call Novo Nordisk Inc. at 1-833-934-6891.
The needle cover will lock when the pen is removed from your skin. You cannot stop the injection and restart it later.
🤔Where to inject Wegovy
👉Wegovy is injected under the skin of your stomach (abdomen), thigh, or upper arm, using a single dose pen device. This medicine should not be injected into a muscle (intramuscularly) or vein (intravenously).
Change your injection site with each injection. You may inject in the same body area each week, but it is important to use a different spot each time. Do not inject into an area where the skin is tender, bruised, red, or hard. Avoid injecting into areas with scars or stretch marks.
Put the used Wegovy pen in an FDA-cleared sharps disposal container right away after use. Do not throw away (dispose of) the pen in your household trash.
People who are blind or have vision problems should not use the Wegovy pen without help from a person trained to use the pen.
🤔Wegovy Dosing Information
👉The starting Wegovy dose is 0.25 mg once a week for four weeks, and then your Wegovy dose will increase every 4 weeks until you reach a maintenance dose of 1.7 mg or 2.4 weekly. The Wegovy dosing schedule starts at a low dose and increases over months to reduce the risk of gastrointestinal side effects.
🤔Wegovy Dosing Schedule
👉Initial Adult Wegovy Dose Escalation Schedule:

0.25 mg once a week for weeks 1 through 4 (month one)
0.5 mg once a week for weeks 5 through 8 (month two)
1 mg once a week for weeks 9 through 12 (month three)
1.7 mg once a week for weeks 13 through 16 (month four)
Adult Maintenance Wegovy Dose:

1.7 mg or 2.4 mg once a week from Week 17 and onward. If patients do not tolerate a dose during dosage escalation, consider delaying dosage escalation for 4 weeks.
Initial Wegovy Dose Escalation Schedule (Pediatric Patients Aged 12 Years and Older):

0.25 mg once a week for weeks 1 through 4 (month one)
0.5 mg once a week for weeks 5 through 8 (month two)
1 mg once a week for weeks 9 through 12 (month three)
1.7 mg once a week for weeks 13 through 16 (month four)
Maintenance Wegovy Dose (Pediatric Patients Aged 12 Years and Older):

2.4 mg once weekly from Week 17 and onward
If patients do not tolerate the 2.4 mg once-weekly maintenance dosage, the maintenance dosage may be reduced to 1.7 mg once weekly.
Discontinue Wegovy if the patient cannot tolerate the 1.7 mg once-weekly dosage.
🤔What happens if I miss a dose?
👉Use the medicine as soon as possible and then return to your regular schedule. But If your next dose is due in less than two days (48 hours), skip the missed dose and return to your regular schedule.
Call your doctor if you miss more than two doses in a row of Wegovy. You may need to restart the medicine at a lower dose to avoid stomach problems.
Do not use two doses of semaglutide at one time.
🤔Storage
Store in refrigerator from 2°C to 8°C (36°F to 46°F).
If needed (prior to cap removal), the pen can be kept from 8°C to 30°C (46°F to 86°F) for up to 28 days.
Do not freeze.
Protect from light, and it must be kept in the original carton until the time of administration. Discard the pen after use.
✒️🩺 Lion Dr Rana Sanjay Pratap Singh (Dr Rana SP Singh senior physician and diabetologist Patna Bihar India 🪷)
DC - FIRST AID EDUCATION AND EMERGENCY RELIEF, LIONS CLUB international district 322E

Medical World Dr Rana Sanjay

19/07/2025

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