The right option depends on: Why tirzepatide is not an option: cost, insurance denial, medical history, or needle aversion, each point toward different alternatives Weight loss goal: patients needing 15%+ loss are best served by GLP-1 medications
doi: 10.1016/S0074-7742(05)72015-8 162 SheldrickR
Dulaglutide is marketed under the brand name Trulicity and is FDA-approved for the management of type 2 diabetes
Also, anyone with severe gastrointestinal (digestive) issues, such as gastroparesis (a condition where the stomach doesnt empty properly), should be cautious, as semaglutide can worsen these conditions
Previously, we have been mostly prescribing it for our patients who either need significant weight loss before surgery or those who are post-surgery and struggling, either not having lost enough or gaining back weight
The aspiration risk is most significant during the induction of general anesthesia, when your protective airway reflexes are suppressed