semaglutide + tirzepatide Semaglutide/Tirzepatide: Beyond Weight Loss: Shamsah Amersi, MD: OB-GYNs 💉WHAT HAPPENS AFTER STOPPING WEIGHT-LOSS

So be sure you know how to recognize and treat hypoglycemia

Etiology Pathoanatomy more consistent with "tendinosis" than true inflammation Often associated with other primary shoulder pathology subacromial impingement stenosis of bicipital groove rotator cuff tears especially subscapularis pathology Anatomy originates off supraglenoid tubercle and superior labrum stabilized within bicipital groove by transverse humeral ligament With persistent inflammation, the intra-articular portion of the biceps tendon can become hypertrophied, leading to incarceration within the joint during movement, especially elevation Presentation Symptoms pain anterior shoulder pain may have pain radiating down the in the region of the biceps symptoms may be simillar in nature and location to rotator cuff or subacromial impingement pain tenderness with palpation over biceps groove worse with arm internally rotated 10 degrees pain elicited in bicipital groove when patient attempts to forward elevate shoulder against examiner resistance while elbow extended and forearm supinated

Metabolism: ...We dont have good data on that specific question. Prosecutor: We dont have data

Brand-Name GLP-1 Medications: Ozempic and Wegovy (semaglutide) Mounjaro and Zepbound (tirzepatide) FDA-approved with extensive clinical trial data Manufactured by pharmaceutical companies (Novo Nordisk, Eli Lilly) Cost $900-$1,350 per month without insurance May be covered by insurance (with restrictions) Come in pre-filled injection pens Compounded GLP-1 Medications: Same active ingredients as brand-name versions Made by FDA-registered compounding pharmacies Cost $199-$599 per month Not typically covered by insurance Available due to ongoing medication shortages May come in vials requiring manual injection or pre-filled syringes Are Compounded GLP-1s Safe

2.94g of Acetyl L-Carnitine