While all beverages, including alcohol, juice, and coffee, can be included in moderation, limiting these may be helpful until your nausea subsides
Patients who have renal or hepatic disorders dont even need dose modifications
When we eat a lot of fiber, we select for fiber-munching bacteria, and some of the compounds they make with fiber are beneficial, like the propionate that appears to have an anti-obesity effect I explored in Fawning Over Flora
Based on current clinical guidelines and our patient experience: Strong indication: BMI 30 (obesity) without active contraindications BMI 27 (overweight) with weight-related comorbidities such as hypertension, dyslipidaemia, type 2 diabetes, sleep apnoea, or fatty liver disease Patients who have attempted weight management through diet and exercise without sustained results Patients who have plateaued with other weight management interventions Relative indication (clinical judgement): BMI 25-27 with specific metabolic drivers (pre-diabetes, insulin resistance, PCOS) Patients preparing for weight-related surgery or other medical interventions Patients with specific body composition goals beyond BMI criteria Not indicated or contraindicated: Pregnancy, breastfeeding, or pregnancy planning within next 2 months Personal or family history of medullary thyroid cancer or MEN2 syndrome Personal history of pancreatitis Active severe gastroparesis or severe gastrointestinal disease BMI below 25 (cosmetic use for body contouring in normal-weight individuals is not appropriate) Eating disorder history GLP-1 use can be problematic for patients with restrictive eating patterns Frequently asked questions Is Ozempic "better" for weight loss than Wegovy
Despite recent advancements in therapeutic options, it is still one of the most clinically challenging blood cancers, with a notably low 5-year survival rate of 30% and a high rate of relapse 1,2
A drop in blood sugar causes your body to crave high-calorie or sugary foods, which spikes your blood sugar
