Whole Grains & Legumes (as tolerated) Examples: Quinoa, oats, lentils, black beans These provide slow-digesting carbs and fiber
Proteomics 2013
Ozempic Class * GLP-1 receptor agonist (Glucagon-like peptide-1 receptor agonist) Generic Name * Semaglutide Indications * Type 2 diabetes mellitus * Reduction of cardiovascular risk in selected patients with type 2 diabetes and cardiovascular disease * Weight loss (semaglutide is also marketed in some settings under a different brand for obesity management) Mechanism of Action * Stimulates glucose-dependent insulin secretion * Suppresses glucagon secretion * Delays gastric emptying * Increases satiety and reduces appetite Dosage (Type 2 Diabetes) * 0.25 mg subcutaneously once weekly for 4 weeks * Increase to 0.5 mg once weekly * May increase further based on response and local prescribing guidance Adverse Effects Common * Nausea * Vomiting * Diarrhea * Constipation * Abdominal pain * Reduced appetite Serious * Acute pancreatitis * Gallbladder disease * Acute kidney injury (usually secondary to dehydration) * Severe gastrointestinal symptoms Contraindications * Hypersensitivity to semaglutide * Personal or family history of medullary thyroid carcinoma * Multiple endocrine neoplasia syndrome type 2 (MEN2) Precautions * History of pancreatitis * Severe gastrointestinal disease * Renal impairment with significant dehydration risk Drug Interactions * May affect absorption of oral medications due to delayed gastric emptying * Risk of hypoglycemia increases when used with insulin or sulfonylureas Monitoring * HbA1c * Fasting/random blood glucose * Weight * Renal function if significant GI side effects occur * Active ingredient: Semaglutide * Administration: Subcutaneous injection once weekly * Causes significant weight loss and improves glycemic control
Value Health 17 , 714724 (2014) National Institute for Health and Care Excellence
Slower stomach emptying means that food and drinks remain in the stomach for longer, which can either make people feel fuller longer or, in some cases, feel nauseated, said Daidone
Has anyone else experience a similar situations where they began feeling worse after the first B12 shot or have felt completely terrible after missing an injections
