The drug interactions listed above are not all of the possible interactions or adverse effects
Everything in Protocol 1, plus: Probiotic: 10-30 billion CFUs daily (multi-strain with Lactobacillus and Bifidobacterium) Ginger extract: 250 mg four times daily (or 1-2 grams raw ginger) Vitamin B6: 10-25 mg daily for nausea Electrolytes: Sodium, potassium, and magnesium if experiencing dizziness or dehydration Expected benefits: Reduced nausea, more regular bowel movements, less bloating, better tolerance of the medication especially during the early side effect period

Our patients receive: Comprehensive lab testing and hormone panels Regular Styku 3D body composition scans Access to GLP-1 injectables or oral appetite suppressants Hormone replacement therapy (TRT or BHRT) when indicated IV therapy options to support cellular health One-on-one provider guidance at every stage BHRT Weight Loss Program As a Certified BHRT provider, we recognize that hormonal balance plays a critical role in weight management, especially for women experiencing perimenopause, menopause, or metabolic resistance
Both Tresiba and several GLP-1 medications come in prefilled pen devices that look nearly identical
Current Opinion in Microbiology, 47, 813
For patients who can pursue both, combining them in a structured protocol produces results that neither achieves alone because structural repair runs better when cellular energy is restored