Topical research's dose-response curves do not transfer to injectable use
14,15 The second step is the use of pharmacologic medications, including metformin, oral sulphonylureas, oral sodium-glucose cotransporter 2 (SGLT2) inhibitors, oral dipeptidyl peptidase 4 (DPP-4) inhibitors, oral -Glucosidase, injectable glucagon-like peptide 1 (GLP1) receptor agonists, or injectable insulin
Any menstrual changes are likely secondary to the weight loss and metabolic effects of the medication rather than a direct action on reproductive hormones
if you do drink, limit to one small drink and never on an empty stomach
Additionally, some patients report mild fatigue during the initial adjustment period, though this often improves within 2-4 weeks
has received consulting fees from Amgen, AstraZeneca Inc., Insulet, Kallyope and Pfizer Inc