We know that a number of our patients are seeking injections for weight loss privately. We wanted to highlight a recent FSRH update regarding contraception. https://fsrh.org/Common/Uploaded%20files/documents/Patient-information-GLP-1-agonists-and-contraception.pdf ▶️ I am taking the pill. Will using a GLP-1 agonist affect my contraception? This depends on the type of GLP-1 agonist that you are using. If you are using tirzepatide you should use a barrier method of contraception (e.g. condoms) in addition to your pill for four weeks after starting the medication, and for four weeks after any increase in dose. This is because tirzepatide works slightly differently to the other GLP-1 agonists. Alternatively, you may wish to consider another (non-oral) method of contraception whilst using tirzepatide. There is currently no evidence that semaglutide, exenatide, liraglutide, dulaglutide or lixisenatide reduce the effectiveness of oral contraception (i.e. the combined pill, or the progestogen only pill/ “mini-pill”). ▶️ Can I take a GLP-1 agonist during pregnancy? It is important to use effective contraception whilst taking a GLP-1 agonist, as these medications should not be used in pregnancy. If you become pregnant whilst taking one of these medications it is important to discuss this with your doctor. GLP-1 agonists should also be avoided for a number of weeks prior to a planned pregnancy.
Physio, Podiatry and Pain
Physiotherapy & Podiatry
Patients can self-refer to the musculoskeletal (physio) service via the Your Physio website. The website has a number of useful leaflets and videos about joint and muscular conditions and it guides you through the self-referral process.
The NHS podiatry service in York and Selby locality is provided by the Harrogate and District NHS Foundation Trust via White Cross Court and other local community clinics. Patients can now self refer to use this service where appropriate. For more information on what conditions they can treat and to arrange a referral - visit their website here.
If you have been referred to the Pain Clinic, you may experience a wait of 10-12 months. They have developed a useful resource full of support for patients with chronic pain, including: pacing, guidance on limitations of pain medication for chronic pain, exercises, affect on mood and wellbeing. Visit their website here.
