Sources National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Medications requiring particular consideration with Rybelsus include: Levothyroxine (thyroid hormone replacement) - monitor thyroid function as semaglutide may increase levothyroxine exposure Warfarin and other anticoagulants - monitor INR when initiating semaglutide Insulin and sulfonylureas (increased risk of hypoglycaemia, dose adjustment may be needed) According to the Rybelsus Summary of Product Characteristics (SmPC), patients should take the medication correctly: on an empty stomach with no more than 120ml of water, swallow the tablet whole, and wait at least 30 minutes before any food, drink, or other oral medications
Who Should Start GLP-1 Treatment and How Genetics May Inform Provider Conversations GLP-1 medications are appropriate for adults with a BMI 30 or 27 with weight-related comorbidities (hypertension, type 2 diabetes, cardiovascular disease), provided no contraindications exist
Rowena Chua, a Wisp provider and board-certified physician in Neurology and Integrative Medicine, for some straight talk about weight loss and GLP-1s