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Outcomes included changes in left ventricular ejection fraction (LVEF), end-diastolic volume (LVEDV), end-systolic volume (LVESV), global longitudinal strain (GLS), left ventricular mass, left atrial volume (LAV), and NT-proBNP levels

Current evidence suggests stopping these medications before conception, though individual circumstances vary significantly

Certain individuals face heightened risks when combining weight loss medications with hot weather: Adults over 65: Older people aged 65 years and over are particularly vulnerable Those with chronic conditions: Diabetes, heart disease, or kidney problems increase risk Multiple medication users: Drug interactions can compound heat-related effects First-time users: New to weight loss medications and unfamiliar with side effects Emergency Action Plan: When to Seek Help Immediate Medical Attention Required Persistent vomiting preventing medication or fluid retention Signs of heat stroke (high body temperature, altered mental state, fast breathing, dizziness) Severe dehydration symptoms Chest pain or breathing difficulties Contact NHS 111 For Worsening medication side effects during hot weather Concerns about medication storage or effectiveness Guidance on maintaining treatment during extreme heat Creating Your Personal Heat Safety Protocol Daily Essentials Checklist Morning Preparation Check weather forecast and heat warnings Ensure adequate cool fluid supplies Verify medication storage temperature Plan indoor activities during peak heat hours Throughout the Day Monitor urine colour (should be pale yellow) Track fluid intake vs

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