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This is particularly relevant for: Short-acting agents (exenatide immediate-release, lixisenatide) May require timing separation from oral medications, particularly those requiring rapid absorption Weekly agents (semaglutide, dulaglutide, exenatide extended-release) Generally have minimal impact on oral contraceptive effectiveness Warfarin/coumarin anticoagulants More frequent INR monitoring may be advised when starting GLP-1 therapy Oral semaglutide (Rybelsus) has specific administration requirements (taking on an empty stomach with a small amount of water) to ensure proper absorption
Once viewed solely as a hormone that raises blood sugar, glucagon is now recognized as an important regulator of energy balance, fat metabolism, and liver health
Some patients can get off these medications after losing and maintaining their weight for a while, but you should work with your clinician to make sure youre going off them the right way
Thyroid Cancer: As with other GLP-1 medications, animal studies have shown a theoretical risk of thyroid tumours
Fiber increases fullness
