You leave with a blood test request form, information about starting Tier 1 supplements, and a recommendation to have the bloods done as soon as possible Two to four weeks later, at the follow-up consultation, I review your blood results with you, add any Tier 2 supplements based on what the bloods show, and discuss your surgical plan in more detail A minimum of four weeks between first consultation and surgery: this is the floor, not the target
Administration Injectable GLP-1 medications: Self-administered subcutaneous injection Small needle, minimal discomfort for most Common injection sites: abdomen, thigh, upper arm Rotate sites to prevent tissue irritation Most are once-weekly (semaglutide, tirzepatide, dulaglutide) Oral semaglutide (Rybelsus): Must be taken on empty stomach No more than 4 oz water Wait 30 minutes before eating or taking other medications Daily dosing Long-Term Considerations Understanding the long-term picture helps with treatment planning
The calculator lets you test different reconstitution volumes before committing, giving you full control of your setup
Retatrutide was developed to explore whether a broader approach to metabolic regulation could improve weight management outcomes
Zhang L, Zhang L, Li Y, Li L, Melchiorsen JU, Rosenkilde M, et al
Seizure risk with bupropion rises at doses above 450 mg daily, regardless of other medications
