Weight loss bottoms out after a couple of years, but there seem no additional safety concerns after that, with many staying on it for longer. My experience is mostly for treatment of type 2 DM rather… (View Post)

No, the hype around Semaglutide and Tirzepide is kosher, a real breakthrough. The number of people that I see in my diabetic clinics who have shed weight of several stones is now a routine, often hav… (View Post)

For competition to work for consumer choice there needs to be surplus capacity. In a state of shortage of capacity and excess demand then people have to take what they can get. It's the same for… (View Post)

Yes, that is very much what I mean. Even in hospital Practice the same happens, when more recently appointed Consultants are reluctant to make decisions that are well within their competence and skil… (View Post)

Despite being a Hospital practitioner myself, I think the emphasis on General Practice is correct. There are many problems though with General Practice, but perhaps the main and most intractable one … (View Post)