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Tips and Tricks for Semaglutide, Ozempic and Wegovy Hi, I am Dr. Craig Primack, and today I'm coming to you from Scottsdale Weight Loss Center. It has been quite some time since I've done a medical minute. Semaglutide So this weight loss drug is called semaglutide. It is a GLP-1 style drug. What does that mean? So semaglutide comes in two forms. The first form is something called Ozempic, in this blue pen. And the other one is called Wegovy, in the white pen. It is the same drug, although it is a different delivery system. You and I both have a hormone called GLP-1. It comes from the small intestine, the ileum, the area right past the stomach. The way I think about it is as food goes through the stomach and gets to the small intestine, the body is absorbing it. Even though that's not exactly what it's doing, it kind of says that "I'm full" and sends a hormonal signal to the brain that tells your body "I'm full" so you don't go out and get more food right away, because it's working on absorbing that food right then and there. The half life, so the amount of time that this hormone lasts in your system, half of it is gone in two minutes. And another quarter of it would be gone in a little bit later. So in a couple minutes, let's call it 10 minutes or less, that hormonal signal is completely gone. This is an artificial form of the drug GLP-1 called semaglutide. And the half life is a week long. It lasts in your system for a week at a time. So your body fuels fullness all the time. That is a great benefit for many of us in weight loss. Tips and Tricks So I'm going to show you a few tips and tricks I've learned throughout the last year. The first part is when should I take this drug? It is a once a week drug. When you read the package insert, it takes between one and three days to fully kick in. So I love to have my patients use this drug on a Wednesday. Why on a Wednesday? Because it takes between one and three days, so by Friday night, it's fully kicked in. It's fully kicked in through the rest of your... If there is social eating on the weekend, social eating. And then in the beginning at the lower doses, it may start to wear off before the end of your week. So maybe that's one day before on a Tuesday. Tuesday's typically not a big eating day. So first thing is Wednesday. Ozempic So the first one, Ozempic, you actually have to put a needle on. And what I'll show you is it has a cap on it right now. You take the cap off, you take this little needle and there's two pieces of plastic on the needle. You screw it on very simply. There's this first cap you take off right there. There's a second cap that you take off right there. And you guys can't see it, but this is a 32 gauge tiny, tiny needle. The next you do is you look at this little window where there's a zero. The first time you ever use the pen, you prime it by putting it to these first two little dots and you push the button and it goes back down to zero. That's before you even give yourself a dose. The next time you do it, you turn it all away, let's do it that way, to 0.25, which is about 18 clicks here. These little clicks. That may come into use in the future if we decide to try to adjust your dosing at all. But you put it at 0.25. You put this tiny little needle usually in your abdomen. It can go also in your thigh or arm and you push the button down. And as you can see, it goes all the way back to zero. When it goes back to zero, you then count to 5. 1, 2, 3, 4, 5, and you are done. Find a Sharps container. Or what I tell a lot of people is take an old medicine bottle, the yellow with the safety cap that's empty. Take this little needle off. Just like that. And throw it in your safety container. When it is full, then take it back to your pharmacy. So you do have to use, or at least touch the outside part of the needle on this one. Wegovy On Wegovy, another version of this, this is an auto injecting needle. You can see there's a little window here. What I have found is the best place to put this one, even though it can be in your abdomen or your arm, it is in your thigh when you're sitting in a chair. So you pull the plunger out and I'm going to show you the little window and pretend my thigh is my arm right here. And you push it down, you're going to hear two clicks. You're going to hear a click right away. You're going to see this little yellow bar. It's going to go about three quarter. Click again, and then move a little bit more. When it is done moving after the second click you are done, you never saw a needle and you have the full dose in you. Both of these medicines are adjusted somewhat differently, so please ask your medical professional what is the best way to do that. Hopefully this has helped you a little bit learn something about semaglutide, a great drug for many of us here in weight loss. I will be back soon with another medical minute.

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📹 甘木第一クリニックで行っているメディカルダイエットを40代女性に行ってもらいました。およそ3ヶ月間のダイエットでどれくらい痩せられるんでしょうか!? 気になる🍽食生活などをレポートしてもらいました。 ⚠️ 肥満は高血圧症・糖尿病・脂質異常症などの生活習慣病をはじめとして、数多くの疾患と関連します。 🌍現在、世界人口の約3割にあたる21億人あまりは、過体重もしくは肥満とされ、2010年に肥満・過体重が原因で死亡した人の数は世界で340万人と推定されています。 📈日本でも生活習慣の欧米化に伴い、確実に増加しています。 📌肥満症治療の中心は「🍱食事・🏃運動療法」の２本柱ですが、 💬約95%の方は長期的には、それらの手段で体重減少を維持することが困難です。 🔬現時点では【肥満外科手術】のみが、長期的な体重減少と肥満関連疾患の改善を図れることが証明されています。しかし、⛔保険診療での手術適応には厳格な基準があり、まだ一般化されていません。 💡当院では、以下のような方に自費診療（保険外診療）を提案しています。・食事・運動療法で成功しない方・手術適応外の方 🔗メディカルダイエットについて詳しくはこちら 👉 https://amagi-daiichi-clinic.com/diet/ 📝【メディカルダイエット体験レポート 40代男性の場合】 👉 https://amagi-daiichi-clinic.com/blog/diet/ 🔍【メディカルダイエットとは･･･】 💉GIP/GLP1あるいはGLP1、または補助的にSGLT2阻害剤を併用するダイエット。 ✨薬を利用することが最大の特徴！ 💉【GLP-1とは】別名“ダイエット注射”や“食欲抑制ホルモン”とも呼ばれます。 📌体内ホルモンの一種で、複数臓器に作用： 🧠脳、🫀心臓、🦵筋肉、🩺肝臓、💉膵臓、🍽小腸など 📈ダイエットへの作用・血糖上昇を抑えやすい・胃の排出を遅らせ自然な食事制限がしやすくなる 👤【GLP-1ダイエットをおすすめする方】 ✅ 運動が苦手な方 ✅ リバウンド経験がある方 ✅ 食事制限のストレスがつらい方 ✅ 健康診断結果に悩む方 🎤【ダイエットに向けて院長からのメッセージ要約】 ① 食制限と間食中止の習慣化 ② 成功体験の一度の経験 ③ 体重増減に一喜一憂しすぎない ④ メディカルダイエットはあくまで手段。柔軟な考えを ⚠️【GLP-1のデメリット】 ❗低血糖リスク ❗消化器系の副作用（吐き気・嘔吐） ❗膵炎のリスク（まれ） ❗一部で体重増加の可能性 ❗注射部位の副作用（痛み・腫れなど） ❗長期リスクはまだ不明 🔎【GLP-1ダイエットの注意点】・医薬品のため使用には注意が必要・医師の診察が必要 💰【料金一覧（税込）】 💉マンジャロ（注射）・2.5mg（2本）2週間分：10,340円・2.5mg（4本）1ヶ月分：20,680円・5mg（2本）2週間分：16,500円・5mg（4本）1ヶ月分：33,000円 💊リベルサス（内服）・3mg：14,300円・7mg：19,800円・14mg：28,600円 👩‍⚕️ 初診料：3,300円　再診料：1,650円 🧪 採血・採尿検査一式：8,360円（初回・必要時） 🏥【実際の診療における注意事項】初回は必ず対面診察にて適応可能かどうかを判断させていただきます。初診時はオンラインでの診療は出来ません。日本では肥満治療薬としての保険適応は無いため、全て自費診療となります。他院で施行されて当院で継続を希望されるなどの場合、初回は必ず採血を行います。再開を希望され御来院の際、最終受診から1年以上間隔があいているときは、初診扱いとなり、採血などの確認を行いますので、ご了承ください。体調不良時や全く食事が摂れない状態などで使用しないでください。未使用の場合は冷蔵庫で凍結させないよう保管してください。使用後の針は医療廃棄物となります。当院へ持参もしくは当院宛にご郵送ください（送料はご負担ください。）採血の結果により治療が受けられない場合があります。リベルサス®やマンジャロ®らの医薬品と、それに関わる針、アルコール綿はいかなる場合におきましても、返品・返金はできませんのでご了承ください。治療の効果は、体質や基礎疾患、食事や日々の運動量等にも影響を受け、絶対の効果を保証するものではありません。 ⚠️【副作用の可能性】・注射部位：内出血、腫れ、赤み、かゆみ・全身症状：倦怠感、頭痛、腹痛、嘔吐、下痢など 📢【未承認医薬品等（異なる目的での使用）に関する明記】未承認医薬品であることの明示リベルサスⓇ、マンジャロⓇは、医薬品医療機器等法において、「2型糖尿病」の効能・効果で承認されていますが、当院で行う肥満治療目的での使用については国内で承認されていません。入手経路等国内の医薬品卸業者より国内承認薬を仕入れています。国内の承認医薬品の有無国内で「肥満治療」の効能・効果で承認されている、GLP-1製剤「ウゴービ」、GIP/GLP-1製剤「ゼップバウンド注」があります。諸外国における安全性などに係る情報リベルサスⓇ、マンジャロⓇと同一成分の注射製剤が、米国FDA(アメリカ食品医薬品局)で肥満治療薬として承認されております。医薬品副作用被害救済制度について未承認医薬品などは医薬品副作用被害救済制度・生物由来製品感染など被害救済制度の救済の対象にはなりません。 🏥 医療法人甘木第一クリニック 📍〒838-0064 福岡県朝倉市頓田596-3 📞TEL：0946-24-5151　📠FAX：0946-24-1834 🕗 診療時間：8:30〜／ 14:30〜 🛑休診日：日曜、祝日、水曜午後、土曜午後 👨‍⚕️院長：川﨑誠一 🌐 https://amagi-daiichi-clinic.com/