There was also a slight increase in the number of foot and toe amputations during the CANVAS trial than is usual so further studies are needed to assess if this is a problem and who is more at risk
Insurance does not cover compounded GLP-1 medications because compounded drugs fall outside formulary coverage by design
Plaque and bacteria build up faster, cavities and enamel erosion become a real threat, and gums can turn red, inflamed, and prone to infection
GI side effects indicate that the drug is activating the receptors that drive weight loss
Good sources include lean meats, fish, eggs, legumes, and dairy
General approach: If on Semaglutide 0.5 mg or less: Start tirzepatide at 2.5 mg If on Semaglutide 1.0 mg: Start tirzepatide at 5 mg If on Semaglutide 1.7-2.4 mg: Start tirzepatide at 5-7.5 mg Some providers start everyone at 2.5 mg regardless of previous dose to minimize side effects