In the early stages of prediabetes, insulin resistance develops in muscle, fat, and liver tissue
Those with specific performance goals or medical considerations should consult with a licensed healthcare professional or sports nutritionist for personalized recommendations
These include people with a history of peptic ulcers, Crohn's disease or ulcerative colitis, those taking blood thinners or aspirin regularly, and patients with previous gastrointestinal surgery
The longer estimate (30 days) represents the outer limit
Healthcare providers now also consider "ethnic-specific BMI adjustments." For patients of Asian or African descent, some 2026 protocols allow for Wegovy initiation at a BMI of 25 if metabolic markers suggest high risk
Profile 7: Patients Requiring In-Person Medication Management for Comorbidities Patients on warfarin, narrow therapeutic index drugs, or insulin regimens that will require dose titration as weight changes should be managed by an in-person prescriber who can order labs, adjust doses, and monitor for interactions in real time