On the other hand, if youre experiencing heavy bleeding, it could be linked to abdominal fat (particularly a type called visceral fat)
Combining with DPP-4 inhibitors is generally not recommended, as both drug classes work on the incretin system Adding basal insulin for those with more significant hyperglycaemia, which can be used alongside GLP-1 medications (with careful monitoring for hypoglycaemia) Switching to insulin therapy entirely may be necessary for those with advanced beta cell failure For weight management , when GLP-1 medications don't produce adequate weight loss, alternatives include: Orlistat , a lipase inhibitor that reduces fat absorption, though weight loss is typically modest (2-3 kg on average) Naltrexone-bupropion (Mysimba), which works on appetite centres through different pathways
GLP-1 RAs don't suppress insulin secretion or alter ketone metabolism in the same way, making their safety profile meaningfully different
However, its worth noting that these meds can sometimes cause constipation just like GLP-1s so your doctor may recommend using it with a stool softener to avoid things getting too backed up
Details in the bloodwork section below
Published research supports healthier transit times with 5-HTP supplementation