We should not hesitate to start patients on these medications if they are followed closely by their endocrinologist and ophthalmologist
use a fresh needle each week and rotate injection sites
Many people find that anchoring to a specific day of the week, the same way you might always do laundry on Sunday, creates a natural rhythm that prevents missed doses
doi:10.1016/j.obpill.2025.100181 Fitch A, Gigliotti L, Bays HE
that gaunt, instantly aged appearance of patients who lose volume and fat from their faces as a result of the kind of drastic weight loss that Ozempic delivers Sarcopenia Multiple endocrine neoplasia syndrome type 2 Diabetic retinopathy Hypoglycemia Increased heart rate Hair loss Development of eating disorders, especially given that semaglutide is now authorized for use in children Urticaria, a raised or itchy skin rash Infertility, increased risk of miscarriage, low birth weight and incidences of visceral (kidney, liver, heart, blood vessels) and skeletal (sternebra, cranial bones, vertebra, ribs) fetal abnormalities were observed Hypersensitivity reactions, including anaphylaxis Its worth noting that approximately 39% of semaglutide-induced weight loss is actually muscle loss, not fat loss

A metformina a primeira opo de tratamento devido ao seu perfil de segurana em longo prazo, efeito neutro ou redutor de peso, baixa incidncia de hipoglicemias e sua capacidade de reduzir eventos macro vasculares, como infarto agudo do miocrdio e mortalidade (PAULA, 2021)