We do not start at a high dose as you could have an increased risk of side effects such as nausea, diarrhea, constipation, and abdominal pain
If you are going to make the switch, then we would advise using an external form of contraception such as a condom, cap or even an implant or copper coil, which offer more reliable protection whilst on weight loss treatments
While this situation makes the drugs more available, it results in several additional issues, the main one being that, while a drug is on the Drug Shortages List, compounding pharmacies can make it
Based on these findings, GLP-1s should be prescribed together with a structured exercise program, aiming for regular strength training at least 3 times weekly plus at least 150 min of moderate-intensity aerobic exercise weekly to preserve muscle and bone mass [62,67,158,[173], [174], [175]]