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Weeks 1 through 4 (initiation phase): Starting dose once daily

Prescribers generally do not ask about alcohol in enough detail during GLP-1 visits, partly because appointment time is short and partly because patients underreport

Medications include compounded semaglutide and tirzepatide (503B pharmacy), brand-name Wegovy and Zepbound with PA support, and non-GLP-1 alternatives (topiramate, bupropion, metformin, orlistat) if you are ineligible

Stacking can affect several systems simultaneously

Talk to your doctor before taking GLP-1 medications if you have any of the following conditions: A personal or family history of medullary thyroid cancer or acute pancreatitis Type 1 diabetes mellitus Pregnant, planning to become pregnant in the next 3 months, or nursing Delivered a baby within the past 6 months Ongoing heavy alcohol use Active eating disorder, anorexia, or purging

And then, again, they should be able to access other medications if they aren't able to continue the GLP-1s after the pilot program