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Symptoms of high cortisol (Cushing's syndrome) may include: Unexplained weight gain, particularly around the abdomen and face Purple striae (stretch marks) on the skin Easy bruising and thinning skin Muscle weakness High blood pressure and elevated blood glucose Mood changes, including anxiety and depression Symptoms of low cortisol (adrenal insufficiency) may include persistent fatigue, weight loss, low blood pressure, dizziness, and hypoglycaemia

Wegovy should not be used during pregnancy or in women of child bearing potential not using contraception

Common signs include chronic fatigue, low energy, brain fog, poor memory, mood imbalances, and tingling in hands or feet

The key is systematic tracking and adjustment