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PlexusDx members receive ongoing nutritional coaching tailored to GLP-1 therapy, including meal templates designed to minimize gallstone risk while maximizing satiety and weight loss

Step 1: Define Your Goals Weight Loss Target: Need to lose 20-40 pounds: Semaglutide sufficient (14.9% average loss) Less expensive option works well Compounded semaglutide at $199/month Need to lose 50+ pounds: Tirzepatide preferred (22.5% average loss) Maximum effectiveness important Compounded tirzepatide at $349/month Need to lose 100+ pounds: Tirzepatide strongly recommended May still need bariatric surgery after medication Medication can help even if surgery eventual goal Timeline: Want faster results: Tirzepatide produces weight loss slightly faster But both require 16-20 months for full results No medication produces safe, sustainable rapid weight loss Have time for gradual approach: Either medication works Semaglutide more affordable for extended timeline Step 2: Assess Your Health Status Medical Conditions: Type 2 Diabetes: Both semaglutide and tirzepatide excellent choices Provide blood sugar control plus weight loss May allow reducing other diabetes medications Cardiovascular Disease: Semaglutide proven to reduce heart attacks/strokes (SELECT trial) May be preferred if heart disease history Tirzepatide cardiovascular trial ongoing Thyroid Cancer or MEN 2 History: Absolute contraindication to all GLP-1s Must use non-GLP-1 options (phentermine-topiramate) Gastrointestinal Disorders: GLP-1s may worsen gastroparesis Consider if severe GERD or chronic GI issues Discuss with provider Pregnancy Plans: Do not use GLP-1s if pregnant or planning pregnancy Stop 2 months before trying to conceive Choose non-GLP-1 option or delay treatment Previous Pancreatitis: Relative contraindication to GLP-1s Use with caution, close monitoring May be safer to avoid Current Medications: Insulin or Sulfonylureas: GLP-1s may cause low blood sugar when combined Need to reduce diabetes medication doses Close monitoring required Blood Thinners: GLP-1s safe with anticoagulants No contraindication Psychiatric Medications: Generally compatible with GLP-1s Naltrexone-bupropion may have more interactions Step 3: Evaluate Your Budget What Can You Afford Long-Term

Was it the BPC-157

Ultimately, I chose a mini gastric bypass a procedure that creates a 6-ounce tube out of the top of your stomach, then bypasses several feet of your small intestine before reconnecting the new small stomach tube

Each individual report of side effects contributes to a wider understanding of a drugs impact and can help to inform future research and improvements in treatment

Injectable GLP-1 Brand name Ozempic Brand-name semaglutide from Novo Nordisk, a once-weekly GLP-1 injection