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Omega-3 Fatty Acids: Fact Sheet for Health Professionals

Patients should be advised to: Inspect feet daily for injuries, blisters, or colour changes Wear well-fitting footwear and avoid walking barefoot Maintain good foot hygiene and moisturise dry skin (avoiding between toes) Seek same-day assessment by the multidisciplinary foot care service for any new foot wounds, signs of infection, or sudden changes in foot shape Attend annual diabetes reviews incorporating the Nine Care Processes, including foot screening Referral to specialist services is appropriate when: Neuropathic pain remains inadequately controlled despite optimised primary care management Diagnostic uncertainty exists regarding neuropathy aetiology, or features are atypical or rapidly progressive Foot ulceration, infection, or suspected Charcot arthropathy develops (same-day referral to multidisciplinary foot care service per NICE NG19) Severe infection or critical limb ischaemia (emergency hospital admission) Severe autonomic symptoms significantly impair quality of life Patient engagement through diabetes self-management education empowers individuals to optimise lifestyle factors including diet, physical activity, and smoking cessationall contributing to improved metabolic control and reduced complication risk

The FDA has stated this directly: "Retatrutide and cagrilintide cannot be used in compounding under federal law." State regulators, including the Ohio Board of Pharmacy, have echoed this position

Higher-end projections are generally associated with cases involving confirmed, severe diagnoses, repeated emergency care, hospitalization, surgical intervention, or lasting disability, while lower-end projections tend to involve less intensive treatment or shorter symptom duration