No other potential competing interests relevant to this article are reported
GLP-1 medications like Ozempic work by stimulating insulin secretion and reducing appetite, but corticosteroids counteract these effects by raising blood glucose and increasing hunger
Some users have experienced gaps in their treatment due to stock issues at pharmacie
We can also expect more guidelines on weight management and management of kidney disease using incretin therapy, and clinical studies may show beneficial effects of the early introduction of combination therapy on the long-term control of blood glucose levels

You may be considered for sleeve surgery if: Your BMI is 35 or above , with or without obesity-related conditions Your BMI is 30 to 34.9 with significant comorbidities such as type 2 diabetes, hypertension, or sleep apnea (lower BMI thresholds may apply at some centers, clinician-led) You have had documented failure of supervised non-surgical weight management You are medically fit for general anaesthesia after pre-operative assessment You are committed to long-term dietary changes and structured follow-up , including supplement protocols post-surgery Surgery is typically not recommended if you have: Uncontrolled psychiatric conditions that affect treatment adherence Severe gastroesophageal reflux disease (GERD), where sleeve may worsen symptoms (a bypass option may be discussed instead) Active substance dependence Conditions that significantly increase anaesthetic risk without optimization first Pregnancy or planned pregnancy in the near term What a responsible pre-operative workup in Dubai typically includes: Blood panel: full metabolic screen, HbA1c, iron, B12, vitamin D, thyroid Resting ECG and cardiology clearance if indicated Gastroscopy to assess stomach anatomy and rule out ulcers or H
