Dr Sarah White[/caption]
Rory Johnston MPS[/caption]
There is often a perception that people are simply overweight due to overeating, said Mr Johnston, but there are myriad conditions and medicine classes that can cause patients to gain weight, including:
Aetiology and pathophysiology 
Initial symptoms are usually mild and may include1,2,8:
Delays in diagnosis may result from various factors.11 This may include patients not seeking immediate diagnosis, initial misdiagnosis, referral to non-neurological specialists and delayed referral to a neurologist.11 General practitioners will probably only encounter one patient with MND in their careers.1,11 Differential diagnoses may include a variety of other neurological conditions, including Kennedy’s disease, an inherited disorder which progresses very slowly, involves only lower motor neurones and exhibits similar symptoms to those of MND.1,2 
Why did you decide to become one of the very first pharmacist prescribers? 
References
- National Australia Bank Limited NAB Health Insights Special Report Part 1: The Health Consumer. November 2022. NAB Behavioural and Industrial Economics. At: https://business.nab.com.au/nab-health-insights-2022-56900/
- Pharmaceutical Society of Australia 2019. Medicine safety: take care. Canberra PSA., January 2019. At: www.psa.org.au/wp-content/uploads/2019/01/PSA-Medicine-Safety-Report.pdf
- Australian Commission on Safety and Quality in Health Care 2017. National Model Clinical Governance Framework 2017. At: www.safetyandquality.gov.au/sites/default/files/migrated/National-Model-Clinical-Governance-Framework.pdf
- Pharmaceutical Society of Australia 2018. Clinical Governance Principles for Pharmacy Services 2018. At: https://my.psa.org.au/s/article/Clinical-Governance-Principles-for-Pharmacy-Services.
- Pharmacy Board of Australia 2015. Guidelines for Proprietor Pharmacists. At: www.pharmacyboard.gov.au/documents/default.aspx?record=WD15%2F17691&dbid=AP&chksum=38U9CgE45JL%2BBPCUEpSjWw%3D%3D
- Davies HTO, Mannion R. Will prescriptions for cultural change improve the NHS? BMJ 2013;346:f1305.
