dulaglutide: Trulicity), oral GLP-1 (Rybelsus), non-GLP-1 options (metformin, topiramate, bupropion, naltrexone, orlistat)
According to the SmPC, dose adjustment, temporary treatment interruption, or slower titration schedules may be appropriate in some cases
Some versions of the trend even mix gelatin with juice, tea, or pink salt to boost flavor or add metabolic benefits (more on those below)
I use these peptides as just one tool in a comprehensive approach to metabolic dysfunction, weight loss, and a variety of other issues
If symptoms are persistent, severe, or accompanied by red flags (difficulty swallowing, unexplained weight loss beyond tirzepatide effects, vomiting), an endoscopic evaluation may be warranted
Most hair shedding on semaglutide or tirzepatide is telogen effluvium a temporary response to rapid weight loss, low calorie intake, or inadequate protein