Typically, those who should avoid GLP-1s are those with: A personal or family history of certain thyroid cancers Multiple endocrine neoplasia syndrome type 2 A history of pancreatitis Severe gastroparesis (delayed stomach emptying) Pregnancy or plans to become pregnant Additionally, if you have a history of eating disorders, severe depression or unrealistic weight loss expectations, its important to address these concerns with your physician before considering medication
In particular, it is important to consider the impact of change in usual schedule, hot weather, reduced stress and relaxation, and changes in exercise patterns on glucose levels while on holiday
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And none of the big GLP-1 trials studied anything like microdosing. So right away, if youre going off-label, youre stepping into the unknown. Heres a quick rundown of what might drive someone to try a less-is-more approach: Cost concerns: Depending on your insurance (or lack thereof), these medications can be pricy
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