If you are starting fresh and budget is a major factor, beginning with semaglutide and assessing your response before considering tirzepatide is a reasonable strategy that your IVIM provider can help you navigate
It affects concentration, vial longevity, waste, and cost efficiency
A peer-reviewed review on GLP-1 receptor agonists points out that other medications used in diabetes treatment, such as Metformin, as well as certain antipsychotic medications, are worth considering alongside Semaglutide therapy
Depending on clinical findings, additional testing may include ambulatory ECG monitoring (Holter monitor or event recorder), echocardiography to assess cardiac structure and function, or exercise stress testing if ischemia is suspected
Every injection felt like a reminder that I was losing the fight, she later said