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It may also theoretically interact with medications metabolised by certain liver enzymes (particularly CYP3A4 and CYP2D6), such as ciclosporin and some statins, potentially affecting drug levels in the blood
Our trained clinic staff will perform these injections and infusions for you in a comfortable environment
A key concept here is functional hypothalamic amenorrhoea (FHA) , a condition in which the hypothalamus reduces its secretion of gonadotrophin-releasing hormone (GnRH), leading to lower levels of luteinising hormone (LH) and follicle-stimulating hormone (FSH)
Brazil nuts, sardines, and grass-fed beef are excellent sources
Step 4: Schedule Your Consultation Depending on the provider, youll either: Have a live video consultation Complete an asynchronous evaluation (provider reviews and responds) Schedule a phone appointment What to Prepare: List of current medications and supplements Recent blood work results (if available) Questions about side effects, dosing, and expectations Information about any relevant medical conditions Step 5: Get Your Prescription If your provider determines GLP-1s are appropriate, theyll send a prescription to: A partner pharmacy (for compounded medications) Your local pharmacy (for brand-name medications) A mail-order pharmacy (for home delivery) Typical Timeline: Compounded medications: 3-7 days for delivery Brand-name medications: 1-3 days at local pharmacy (if in stock and insurance approves) Step 6: Start Treatment Your provider will typically start you on the lowest dose to minimize side effects: Semaglutide Starting Dose: 0.25 mg weekly for 4 weeks, then increase gradually Tirzepatide Starting Dose: 2.5 mg weekly for 4 weeks, then increase gradually What to Expect: Week 1-4: Side effects most common (usually mild nausea) Week 4-8: Appetite reduction becomes noticeable Week 8-12: Weight loss typically becomes visible (5-10 pounds) Month 3+: Continued steady weight loss (1-2 pounds per week) Step 7: Attend Follow-Up Appointments Regular check-ins allow your provider to: Monitor side effects Adjust dosage as needed Track weight loss progress Modify treatment plan if necessary Most programs schedule monthly follow-ups, though some offer more frequent support
