2015;23(Suppl 2):S1S26
I offer in-person consultations, ongoing monitoring, and access to the latest FDA-approved treatments, including Semaglutide and Tirzepatide injections
Common side effects Urinary tract infection (UTI) Vaginal yeast infection (females) Upper respiratory tract infection Increased cholesterol or triglycerides Increased urination Other mild side effects Nausea Genital yeast infection (males) Joint pain Increased thirst Weight loss Serious side effects Diabetic ketoacidosis (DKA): nausea, vomiting, abdominal pain, fatigue, increased thirst, dry mouth, fruity breath, breathing difficulty Dehydration/hypotension: dizziness, lightheadedness, reduced urine output Hypoglycemia (with insulin or sulfonylureas): anxiety, shakiness, confusion, fatigue, hunger, rapid heartbeat Severe kidney infections (pyelonephritis, urosepsis): fever, chills, back pain, painful urination Necrotizing fasciitis (Fourniers gangrene): severe genital/perineal pain, swelling, redness Amputations (rare): new foot/leg sores, ulcers, infections Allergic reactions: hives, rash, facial/lip/tongue swelling, breathing difficulty Pancreatitis: upper abdominal pain radiating to back, fever, nausea, vomiting Who should not take Jardiance
However, risks include surgical complications, hemorrhage, infection, and neuropsychiatric side effects, necessitating careful patient selection and multidisciplinary evaluation (Cury et al., 2022
Compounded options at PlexusDx enable microdose escalation, custom strengths, and oral alternatives, allowing flexible strategies aligned with individual tolerability windows
Models of weekly outcomes used intention-to-treat principles (all 48 randomized participants included)
