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TIPS to diminish or avoid potential adverse reactions
- Add some fiber supplement to avoid constipation and keep you regular with the diminished food intake. It is not uncommon to decrease the amount and/or frequency of your bowel movements. Your body’s natural gastrocolic reflex is diminished because of your decreased food intake. This is another reason to stay well hydrated.
- Spread out your fluid intake throughout the day (recommended intake 64 ounces). Also drink slowly, large gulps may result in fullness or reflux.
- Have over the counter (OTC) omeprazole on hand. It is an OTC reflux medication. Dissolving, under the tongue or pill form are available.
- If real nausea occurs, call the office and we can prescribe a stronger anti-nausea medication.
VERY SAFE
- This is a very safe medication. NO clinically relevant drug-drug interaction with semaglutide was observed. Therefore, NO dose adjustment of any medication is required. Also, NO apparent effect on the rate of gastric emptying was observed with semaglutide doses up to 2.4 mg weekly.
- However, I suggest caution and/or an alternative protection when taking oral contraception to ensure maximum pregnancy prevention.
CONTRADICTIONS
- A personal family history of medullary thyroid cancer. However, development of this cancer was only observed in mice.
- MEN syndrome
- Serious hypersensitivity reaction to semaglutide
HOW TO USE
- Follow package insert for directions for your weekly injection. Call or contact the office
for support or any questions. - Start with 10-12 units for the first week or two. Increasing the dose to achieve appetite suppression as needed to 25 units weekly is common. Some stay at 12 units a week. You may need 30, 40, or 50 units weekly. Others may need 100 units and still others may require the maximum dose of 2.4 mg weekly. Higher doses are typically needed with heavier patients.
- My recommendation is to go for the lowest effective dose, but don’t skimp out and compromise your results.
CLOSING
- I am intentionally NOT recommending ‘a diet’. A ‘no-diet diet’ has been found to be equally if not more effective than any specific restrictive diet plan. Everyone’s lifestyle and relationship with food is different and changes over time, You are all adults. I am not going to tell you what to eat or be the food police.
- You will find that you will become more efficient in your eating. You will likely spend less money on food and clean your refrigerator and freezer and lessen overall food waste. Take this time to observe and reflect and make small changes to your nutrition intake.
- Eating less is generally healthier and consistent with longevity. Particularly with supply chain issues, possible food source scarcity and inflation there are many reasons to incorporate a lifestyle less dependent on large amounts of food for satisfaction.
- If you need any suggestions on healthy food substitutes, nutritional education or tactical coaching on you eating habits, please contact Kate Stempel for a personalized evaluation and advice.
Dr. Sharon Giese and her staff are happy to schedule a consultation with you about Elective Weight Loss. For more information on plastic surgery, testosterone therapy in NYC and Dr. Sharon Giese, please email us at ewl@sharongiesemd.com or call us at 212.421.3400.