Semaglutide & Tirzepatide

                                                          GLP 1 MEDICATIONS 

Wegovy, Ozempic (semaglutide) & Liraglutide  are all GLP-1 receptor agonists. They mimics the GLP-1 hormone and makes you feel less hungry. When you eat, your digestive tract releases the GLP-1 hormone, prompting the body to create more insulin. It can also send fullness signals to the brain.

These medications are once weekly, or once daily, subcutaneous injection given with an insulin syringe either in office or at home.

Doses are gradually increased as needed until the max dose is reached. Most common side effects are nausea, diarrhea, vomiting, constipation, headache, upset stomach, dizziness, feeling bloated, belching, gas, and heartburn.

You should not use this if you or your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) or a history of pancreatitis. 

There is a chance that your insurance will cover this medication. If you meet the qualifications and your plan covers the medication, we can try a prior authorization for approval. I am more than happy to start your weight loss journey while you wait for the decision from the insurance. For those covered but are unable to take the brand name medication, compounded formulations may be available to use. 

 While the brand name medication is on the FDA shortage list, compounding pharmacies are able to produce and sell this medication. At this time, semaglutide is off of the shortage list. 

                                                              GLP-1 + GIP Medications

Zepbound, Mounjaro (tirzepatide) is a once-weekly subcutaneous injectable peptide. Tirzepatide also the GLP-1 hormone and the GIP hormone. The GIP hormone can also trigger insulin creation and sensations of fullness. This means tirzepatide may offer an extra weight loss boost over semaglutide. With it being more expensive, why choose this over semaglutide? Tirzepatide is associated with fewer gastrointestinal side effects, potentially providing relief from common side effects such as nausea and vomiting. This medication is also supplied by a compounding pharmacy and is made with B6. 

You should always have a primary care physician and see them for your annual physical.  This is important because as you lose weight your medications may need to be adjusted. You should have your labs drawn at the discretion of your provider. Before this will be prescribed, it is suggested that you provide lab work within the last year, but there are some exclusions. The minimum suggested lab work is a CBC and BMP, but having a TSH, A1C, and lipid panel will provide a better picture of overall health and the ability to lose weight. A free consultation is the first step, and this can be done in person or via telehealth. An in person visit when starting the medication is preferred, so we can discuss how to inject and do the first injection together, and do measurements to compare at future visits. 

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