Your Annual Health Review is Complete

Thank you for completing your annual month of birth review. We’ve reviewed your test results and medications to help keep your care up to date and prevent future problems.

If you would like to discuss any symptoms or still feel you’d like an annual review follow-up appointment, please contact us via reception or via the follow-up appointment request Anima here.

Conditions We May Monitor

• High blood pressure (Hypertension)
• Heart disease (including previous heart attacks and heart failure)
• Stroke or mini-stroke (Transient Ischaemic Attack - TIA)
• Diabetes or Pre-diabetes
• Chronic Kidney Disease (CKD)
• Peripheral Arterial Disease (PAD)
• Atrial Fibrillation (AF)

Lab Tests and Monitoring

We may have tested your height, weight, waist-to-height ratio, blood pressure, HbA1c (blood sugar control), ACR (kidney function urine test), liver and kidney function. Some of these tests also help check medication safety.

Accessing Your Results

You can view your test results using the NHS App or by contacting reception for help. View your test results - NHS

Important Notice for Patients Using Weight Loss Medications and Taking the Pill or HRT

What’s the issue?

Weight loss injections (e.g., Tirzepatide - Mounjaro) and GLP 1 agonists like semaglutide slow down stomach emptying. This can reduce how well oral medications - such as the contraceptive pill or HRT tablets are absorbed, potentially lowering their effectiveness 

What should you do?

Use extra protection:

• For the first 4 weeks after starting these injections—or after increasing the dose—use an additional barrier method (like condoms) 

Switch to non oral contraception or HRT:

• Consider options such as intrauterine devices (IUDs), implants, patches, sprays, or gels that bypass the digestive system. These don't rely on stomach absorption and are more reliable in this context 

Vomiting or diarrhoea? Use extra precautions:

• If you vomit within 3 hours of taking your pill—or if you’ve had diarrhoea for more than 24 hours - use condoms and follow your pill’s “missed pill” instructions 

For HRT:

• If your HRT includes progesterone tablets taken by mouth, talk to a us. You might be offered a higher dosage for up to 4 weeks (clinically common though not officially licensed), or switch to non oral HRT methods to protect your womb lining effectively 

Why these matter

Unexpected pregnancies

The UK’s MHRA has issued warnings after reports of unintended pregnancies—particularly with Mounjaro—when taken with oral contraceptives. Extra protection or non oral contraception is strongly advised 

Endometrial safety

Oral progesterone may fail to protect the womb lining if absorption is reduced, increasing the risk of irregular bleeding or endometrial cancer. Non oral progesterone (e.g., IUS or patch) is safer in this setting, per British Menopause Society guidance

• Patient-information-GLP-1- Agonists and contraception

Reactive hypoglycaemia with GLP-1 medications

GLP-1 medications (such as Mounjaro, Ozempic, and Trulicity) help manage blood sugar levels and reduce appetite. In rare cases, they can cause blood sugar to drop too low - known as reactive hypoglycaemia. This is more likely to happen after a large meal, especially if your HbA1c blood test shows your sugars are already very well controlled. 

Signs of low blood sugar may include:

• Feeling shaky, sweaty, dizzy, or anxious
• Confusion or difficulty concentrating
• Hunger or feeling suddenly unwell

What to do:

1. Act fast - have something sugary straight away (e.g., 3-4 glucose tablets, a small glass of sugary drink, or 5-6 jelly babies).
2. Follow up - after 10-15 minutes, have a snack containing slow-release carbohydrate (e.g., a slice of bread, a biscuit, or a glass of milk).
3. Tell the surgery - let us know if this happens so we can review your treatment.

More information: NHS - Low blood sugar (hypoglycaemia)