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GLP-1(Glucagon-Like Peptide-1) 
Compounded Semaglutide

Typically refers to semaglutide that is compounded or prepared in a form not available through standard commercial formulations. Semaglutide is a medication that belongs to a class of drugs called GLP-1 receptor agonists (glucagon-like peptide-1 receptor agonists). It is primarily used for the treatment of type 2 diabetes and more recently, it has been used for weight management in certain individuals. Semaglutide mimics the action of a natural hormone, GLP-1, which plays a role in regulating blood sugar, appetite, and insulin production.

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How Semaglutide Works:

 

Semaglutide works by activating GLP-1 receptors in the body, which have several key effects:

  • Increased Insulin Secretion: In response to meals, semaglutide stimulates the release of insulin, which helps lower blood sugar levels. This is particularly important for people with type 2 diabetes, who may have impaired insulin secretion.

  • Decreased Glucagon Secretion: Glucagon is a hormone that increases blood sugar levels by signaling the liver to release glucose. Semaglutide reduces glucagon release, helping to lower blood sugar levels.

  • Slows Gastric Emptying: Semaglutide slows the rate at which the stomach empties after eating, which helps increase feelings of fullness and satiety. This can lead to reduced appetite and, over time, weight loss.

  • Improves Beta-Cell Function: Over time, semaglutide can help improve the function of insulin-producing beta cells in the pancreas, which is beneficial for people with type 2 diabetes.

Weight Loss:

  • Wegovy is a brand name for semaglutide that has been specifically approved by the FDA for chronic weight management. It is prescribed for people who are either overweight (BMI ≥ 27) with at least one weight-related health condition (such as hypertension or type 2 diabetes), or those with obesity (BMI ≥ 30) without additional health conditions.

  • Clinical studies have shown that semaglutide can lead to significant weight loss—patients may lose an average of 15-20% of their body weight over a period of several months, making it one of the most effective medications for weight management.

  • Cardiovascular Health:Semaglutide has been found to have benefits for cardiovascular health, including a reduction in the risk of heart attack, stroke, and cardiovascular death in people with type 2 diabetes and established cardiovascular disease. 

Dosage:

 

  • For weight loss: The dose for weight loss is gradually increased, starting at 0.25 mg per week, increasing every 4 weeks to the target dose of 2.5 mg per week.

Side Effects of Semaglutide:

 

While semaglutide is generally well-tolerated, it can cause some side effects, especially in the early stages of treatment. Common side effects include:

  • Nausea: This is one of the most common side effects and is often temporary, especially during the dose escalation phase.

  • Vomiting and diarrhea: Gastrointestinal issues can occur, especially when starting the medication or increasing the dose.

  • Decreased appetite: This effect contributes to weight loss and is one of the reasons why semaglutide is used for weight management.

  • Abdominal pain: Some people experience discomfort in the stomach area.

Serious side effects (though rare) include:

  • Pancreatitis (inflammation of the pancreas).

  • Kidney problems.

  • Thyroid cancer risk: There has been a concern about a possible increased risk of thyroid cancer (specifically medullary thyroid carcinoma), although this has been primarily observed in animal studies. People with a family history of thyroid cancer or multiple endocrine neoplasia type 2 (MEN2) should not use semaglutide.

  • Allergic reactions: Severe allergic reactions, although rare, can occur.

Contraindications and Precautions:

 

  • Pregnancy: Semaglutide is not recommended during pregnancy. Women of childbearing age should discuss contraception options with their healthcare provider while on the medication.

  • Breastfeeding: There is limited data on whether semaglutide passes into breast milk, so it's generally recommended to avoid it during breastfeeding unless deemed necessary by a healthcare provider.

  • Personal or Family History of Thyroid Cancer: People with a history of thyroid cancer or medullary thyroid carcinoma (MTC) should avoid semaglutide.

 

How Effective Is Semaglutide for Weight Loss?

 

For Weight Loss: Clinical studies have shown that semaglutide can help people lose 15-20% of their body weight, which is a significant reduction. Many people also experience a reduction in appetite and cravings, contributing to better adherence to a calorie-restricted diet.
 

Vitamin B-12 

 

  • Boosts energy: It helps your body make red blood cells, which carry oxygen — so you feel less tired.

  • Supports brain health: It keeps your nerves and brain working properly, helping memory and focus.

  • Improves mood: It’s involved in making chemicals like serotonin, which can help with feeling happy and less anxious.

  • Helps with metabolism: B12 plays a role in how your body turns food into energy.

  • Keeps skin, hair, and nails healthy: It’s important for cell production, so it helps you glow!

  • Prevents anemia: Without enough B12, you can develop a type of anemia that makes you weak and tired.

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