The underutilization of GLP-1 RAs presents an opportunity to improve outcomes in this high-risk population without increased complications
If ibuprofen or another NSAID is necessary, several strategies can minimize risk: Use the lowest effective dose for the shortest duration possible for example, 200400 mg of ibuprofen every 46 hours as needed, not exceeding 1,200 mg per day for over-the-counter use unless directed by a healthcare provider Take NSAIDs with food to reduce direct gastric irritation, though this does not eliminate ulcer risk Consider gastroprotection with a proton pump inhibitor (omeprazole, pantoprazole) if NSAID use will be prolonged or if risk factors for GI bleeding are present Maintain adequate hydration to protect kidney function, particularly if experiencing semaglutide-related nausea or vomiting For patients taking Rybelsus (oral semaglutide), remember to take it on an empty stomach with no more than 4 ounces of water, then wait at least 30 minutes before taking ibuprofen or other medications
It is generally not recommended to stop GLP-1 therapy abruptly unless under strict medical supervision
This preset lab bundle includes a lipid panel, complete blood count (CBC), comprehensive metabolic panel (CMP), A1C, thyroid-stimulating hormone test (TSH), and vitamin D
Biostimulatory treatments like Sculptra and hyaluronic acid fillers are an ideal combination
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