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For now, use of GLP-1s specifically for obesity continues to be excluded from Medicare coverage by law. And more pathways to Medicare coverage could open up if these drugs gain FDA approval for other uses. For example, Eli Lilly has just reported clinical trial results showing the benefits of its GLP-1, Zepbound (tirzepatide), in reducing the occurrence of sleep apnea events among people with obesity or overweight.
Can you prevent hair loss when losing weight?
For example, they may be able to recommend an over-the-counter (OTC) treatment for constipation, such as MiraLAX (polyethylene glycol). However, children taking the drug in clinical studies were more likely to have gallbladder problems. Wegovy has a boxed warning for the risk of thyroid C-cell tumors.
Wegovy for heart health and stroke reduction
It belongs to a group of drugs called glucagon-like peptide-1 (GLP-1) receptor agonists. Fifty pounds and eight months down, Tjelle decided to move to a maintenance dose of Wegovy. She still takes a weekly injection but at a low dose and plans to keep doing so as long as her insurance covers it. While her appetite dropped, she continued eating healthy meals and ensured she was consuming enough protein to help her hold on to muscle while losing fat. GLP-1 patients are required to eat healthy and exercise when taking these drugs.
What tips can I provide to patients to help handle nausea?
To help you sort things out, Hill and other experts have provided answers to some of the most common questions about Wegovy. “It’s important to thoroughly discuss side effects with your medical provider,” Dr. Alexander said. It is not known if Wegovy® is safe and effective for use in children under 12 years of age. This is especially true for people who have already taken the medication and are seeing good results. It should, and likely will, grow back after your weight levels off, whether you continue with the medication or not, Dr. Ali says. Your thyroid is a small gland found in the front of your neck area.
Recommended dosages
She experienced nausea — a common side effect — over the first couple of months, which faded over time. Important informationRead the Instructions for Use before you start using Wegovy. This information does not replace talking to your healthcare provider about your medical condition or treatment. Other drugs may affect Wegovy, including prescription and over-the-counter medicines, vitamins, and herbal products. Wegovy is approved to be used for adults who are obese (BMI of 30 kg/m2 or greater) or overweight (BMI of 27 kg/m2 or greater) and have medical problems (high blood pressure, type 2 diabetes, or high cholesterol) due to your weight. For people who have to stop taking GLP-1 agonists for the foreseeable future, continued dietary changes, exercise and mental-health counselling — which should already be in place while on the medication — are a must, Stanford says.
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Because you will use it for a long period of time, it’s important to become familiar with possible side effects and how to recognize them. "With telogen effluvium, you will not lose all your hair, you will not go bald, and it will grow back, so it's not a permanent situation," Dr. Susan Massick, a dermatologist at Ohio State University, told NBC News. Salas-Whalen also recommends semaglutide patients avoid severe calorie restriction, which can lead to nutrient deficiency, add enough protein into their diets, and get good sleep at night.
Wegovy has not been studied in patients with a history of pancreatitis. If you’ve previously had pancreatitis, it is not known if you are more at risk for a recurrence with this treatment. It is not known if this medicine can be used safely in people with a history of pancreatitis. If you experience stomach side effects with Wegovy that bother you, worsen or do not go away, call your healthcare provider for further evaluation. Most common side effects are short-term and only last a few days or weeks.
“There’s a potential worry that for some patients, (the clinics) will not have the right expertise at hand to be able to appropriately manage the side effects, nutrition-related issues,” he said. Weight loss from Wegovy treatment can vary from person to person. Taking a medication with certain vaccines, foods, and other things can affect how the medication works. For step-by-step instructions on how to use your Wegovy pen, see this site from the drug’s manufacturer.
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Your doctor may recommend getting your eyes checked more often during your treatment with Wegovy. Keeping notes and sharing them with your doctor will help them learn more about how Wegovy affects you. They can then use this information to adjust your treatment plan if needed. If you develop serious side effects while using Wegovy, call your doctor right away. “It’s important so that [people] are not shocked or surprised [when it happens],” said Mir Ali, MD, a California-based bariatric surgeon and medical director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center.
And, as is usually the case, Wegovy is meant to be one tool of many in achieving and maintaining a healthy weight. It’s also meant for long-term use, so an expectation of long-term insurance coverage and a discussion with a doctor should both be factors in deciding whether this medication is right for you. But because Wegovy is meant for long-term use, you shouldn’t start taking it if you don’t think you can afford the payments. You might consider whether you expect your insurance to change in the future, such as if you’re approaching retirement. And, like all medications, side effects are also a possibility. “The recommended dose for Wegovy is 2.4 mg once weekly while Ozempic is either 0.5 mg or 1 mg once weekly,” explained Hill.
But no one in these studies stopped taking Wegovy due to constipation. Call your doctor right away if you notice symptoms of a thyroid tumor while using Wegovy. They’ll examine you and will likely recommend lab tests to evaluate your symptoms. They’ll determine whether it’s safe for you to keep using Wegovy. Mild side effects of many drugs may go away within a few days to a couple of weeks. But if they become bothersome, talk with your doctor or pharmacist.
This may include taking glucose (sugar) tablets, a glucose liquid, or fruit juice. You and your doctor may need to more closely monitor your blood sugar during treatment with Wegovy. If you’d like to learn more about Wegovy, talk with your doctor or pharmacist. They can help answer any questions you have about side effects of taking the drug. In addition, it’s not known whether Wegovy passes into breast milk or what effects the drug may have on a child who is breastfed.
You can also see these detailed instructions for use and storage. Your doctor will recommend the dosage of Wegovy that’s right for you. Below are commonly used dosages, but always follow the dosage your doctor prescribes. Talk with your pharmacist if you have more questions about handling and storing Wegovy pens. Keep the pens in the original carton to protect them from light until you’re ready to inject a dose. In children 12 years and older, Wegovy can be prescribed when the child’s BMI is in the 95th percentile† or higher.
Tell your doctor if you become pregnant or plan to during your Wegovy treatment. But drinking alcohol may worsen some of Wegovy’s side effects, such as nausea. Some people may have side effects from Wegovy, and others may not. Some side effects may clear up in a few weeks or last as long as you use Wegovy.
"With, for example, bariatric surgery or any type of diet change, you want to make sure you still maintain a balanced diet, whether its calories, protein, iron, zinc, vitamins (vitamin D for example)," Massick said. About 80% to 85% of hair is in the anagen (growth) phase, about 5% is in a transitional (catagen) phase, and the rest is in telogen (resting, or shedding) phase, Messick said. In telogen effluvium, hairs that are normally in the growth phase get suddenly shifted to telogen phase and cause rapid hair shedding. “We have a whole population of adolescents that maybe struggle with other medical complications such as autism or chromosomal differences that we know for sure are at-risk for obesity,” said McCauley. You should inject Wegovy once per week, on the same day each week.
Tell your health care professional if you have any side effects that bother you. This latter option is highly unlikely in the case of GLP-1 drugs, experts agreed. Even if there is some causal link that’s shown to exist between these side effects and GLP-1 drugs, that wouldn’t necessarily warrant making it unavailable, Rafi explained. Though there’s no confirmed causation between GLP-1 drugs and the three side effects named by the FDA, previous research has made connections between them. However, this FAERS reviewing system allows the FDA to stay on top of any new safety issues that come up, especially after a drug has been widely used by the public. Currently, the FDA is simply “evaluating the need for regulatory action”—drug companies are not yet being asked to do anything, such as updating warnings on their package labels.
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