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In this first segment, we look at how effective GLP-1 treatments are. Two standout medications are Semaglutide (known as Ozempic and Wegovy) and Tirzepatide (or Mounjaro). At the highest dose, Semaglutide helps people lose an average of 15% of their total body weight, while Tirzepatide has shown even more impressive results with a loss of 21% of total body weight. Both are promising options for those looking to manage their weight. Next, we'll talk about how to take GLP-1 medications. Most of these drugs, like Ozempic, Wegovy, and Mounjaro, are given as weekly shots. This means fewer doses, making it simpler for patients. But there's also a pill version of Semaglutide called Rybelsus, which is taken daily. This is great for those who prefer pills over injections. When starting GLP-1 medications for weight management, patients usually begin with the lowest dose. Initially, the weight loss progress is checked every month. For patients losing a pound or more each week, they stick with that dose. For patients losing weight more slowly, the dose would typically be increased. Once the right dose is found, it can be continued for the long term and the dose no longer needs to be adjusted monthly. And the good news? There's typically no need for routine lab tests before starting the medication. Now, we'll talk about who qualifies for GLP-1 medications. These drugs, first made for type 2 diabetes, are now used for weight loss. If your BMI is 30 or above, you qualify based on BMI alone. If your BMI is 27 or higher you can also qualify if you have a weight related condition such as high blood pressure, diabetes, prediabetes, or high cholesterol. Lastly, those who have diabetes can qualify for a GLP-1 as a treatment for diabetes. At this point, we'll talk about who might not be a good fit for these medications. They're not recommended for people with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2. Those with stomach issues like gastroparesis or a history of pancreatitis should also be cautious. Always chat with your doctor to see if these drugs are safe for you. Let's talk about possible side effects. GLP-1 medications can sometimes lead to digestive issues like nausea, vomiting, or diarrhea, and you might feel tired or fatigued too. These side effects are usually strongest after your first dose or when the dose goes up. The good news is they typically only last about a day and go away on their own. That's why we often suggest taking the medicine on a Saturday so you can rest at home and not deal with discomfort at work. When using GLP-1 medications, it's important to be aware of potential interactions with other drugs. If you're also taking diabetes medications like insulin or sulfonylureas, there's a risk of low blood sugar, so close monitoring is essential. Additionally, GLP-1s might affect the absorption of certain drugs, like birth control pills, potentially reducing their effectiveness. Let's discuss the costs. GLP-1 medications like Semaglutide (Ozempic, Wegovy, or Rybelsus) and Tirzepatide (Mounjaro) can be expensive, sometimes more than $1,000 per month. The good news is that insurance, especially private insurance, often covers most of the cost. To get insurance coverage, your doctor will need to submit a prior authorization to your health insurance company, usually after sending your prescription to the pharmacy. The insurance approval process typically takes about one week but can sometimes take longer, up to a few weeks. If you're looking for more affordable options, compounding pharmacies offer custom versions that are often a few hundred dollars per month, shipping included. To find the best option for your budget, talk to your doctor and insurance company. As a side note, another potential issue regarding the accessibility of these medications is that they are extremely popular and are sometimes sold out at pharmacies due to high demand. Research shows that sustaining weight loss through diet and exercise alone without the help of medication is tough. Studies show that most dieters gain back most of the weight they lost within two years. But, using GLP-1 medications like Ozempic, Wegovy, or Mounjaro offers a different story. Those who continue to take their GLP-1 medication tend to maintain their weight loss and avoid regaining the pounds. GLP-1 medications provide a helpful tool to break the cycle of yo-yo dieting seen with the usual weight loss methods that use diet and exercise changes alone. This is why it is usually recommended to take GLP-1 medications long term to maintain the benefits. If you stop taking them, your weight is likely to go back up to where it was before starting the medications. So, it's important to see GLP-1 medications as part of a long-term plan, not a quick fix.

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Losing weight on levothyroxine, is it possible? You bet. Here's why your levothyroxine is not helping with weight loss and how to fix it. Levothyroxine is the most commonly prescribed medication for treating low thyroid or hypothyroidism. One of the most common symptoms associated with low thyroid function is WEIGHT GAIN. You might think that treating your thyroid using thyroid medication would cause you to lose weight but that isn't always the case and this video explains why that is. It makes sense that increasing your thyroid hormone should cause weight loss, especially if the opposite leads to weight gain. So if levothyroxine isn't helping you with weight loss the question is why not? Here are a few reasons why this may be the case: #1. Is it the right medication for you? There are many different thyroid medications available on the market and they are not all created equal. Levothyroxine may simply not be the best medication for your body. #2. Have you waited long enough? Even if levothyroxine is the right medication for you, have you given it enough time to kick in and to work? It takes roughly 4-6 weeks to see any change once you make changes to your thyroid medication dose! #3. Are you taking enough? While levothyroxine may be the right medication for you, you have to make sure that you are taking enough. It won't provide any benefit to you if your dose is simply too low. #4. Is it getting into your system? And lastly, you have to make sure that the medication you are taking is getting into your system. Believe it or not, people take their thyroid medication incorrectly which leads to decreased absorption in the gut. When it comes down to it, levothyroxine just isn't always the best option for weight loss. Other thyroid medications, especially those that contain T3 thyroid hormone are often much more effective of that purpose. These medications include things like Armour thyroid, other formulations of NDT, and even T3 only thyroid medications. If you aren't sure what to do next I've created a list of people who tend to do the BEST on levothyroxine. People in this category include those who are: - Treatment naive - Sensitive to T3 and/or NDT medications - Sensitive to medications and supplements in general - Have few if any chronic illnesses - Have seen some improvement on levothyroxine within a short period of time (usually between 4-8 weeks) Are you using levothyroxine? Is it helping you with weight loss? Let me know below! Download my free thyroid resources here (including hypothyroid symptoms checklist, the complete list of thyroid lab tests + optimal ranges, foods you should avoid if you have thyroid disease, and more): https://www.restartmed.com/start-here/ Recommended thyroid supplements to enhance thyroid function: - Supplements that everyone with hypothyroidism needs: https://bit.ly/3tekPej - Supplement bundle to help reverse Hashimoto's: https://bit.ly/3gSY9eJ - Supplements for those without a thyroid and for those after RAI: https://bit.ly/3tb36nZ - Supplements for active hyperthyroidism: https://bit.ly/3t70yHo See ALL of my specialized supplements including protein powders, thyroid supplements, and weight loss products here: https://www.restartmed.com/shop/ Want more from my blog? I have more than 400+ well-researched blog posts on thyroid management, hormone balancing, weight loss, and more. See all blog posts here: https://www.restartmed.com/blog/ Prefer to listen via podcast? Download all of my podcast episodes here: https://apple.co/3kNYTCS Disclaimer: Dr. Westin Childs received his Doctor of Osteopathic Medicine from Rocky Vista University College of Osteopathic medicine in 2013. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Childs is no longer practicing medicine and does not hold an active medical license so he can focus on helping people through videos, blog posts, research, and supplement formulation. To read more about why he is no longer licensed please see this page: https://www.restartmed.com/what-happened-to-my-medical-license/ This video is for general informational, educational, and entertainment purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Childs and you. You should not make any changes to your medications or health regimens without first consulting a physician. If you have any questions please consult with your current primary care provider. Restart Medical LLC and Dr. Westin Childs are not liable or responsible for any advice, course of treatment, diagnosis, or any other information, services, or product you obtain through this website or video. #thyroid #hypothyroidism #hashimoto's

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