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OBrien, J

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Important factors to consider include: The temporal relationship between starting the GLP-1 medication and the onset of symptoms Other medications you are taking, as polypharmacy can contribute to cognitive effects Underlying medical conditions, particularly diabetes control, thyroid function, vitamin deficiencies (especially B12), and cardiovascular health Lifestyle factors such as sleep quality, stress levels, alcohol consumption, and overall mental health Your GP may arrange blood tests to exclude reversible causes of cognitive impairment, such as hypothyroidism, vitamin B12 deficiency, or poorly controlled diabetes

PMID 2400975