Semaglutide and Tirzepatide are weekly injections used to help you lose weight. They are designed for individuals with a BMI greater than 30 or for individuals with a BMI of at least 27 who also have comorbidities such as high blood pressure, diabetes, elevated cholesterol, or heart disease. 

The injection is administered once a week with the option to go up on the dose every 4 weeks until you reach the max dose. Once you reach your goal weight, you can then switch over to a maintenance dose which will not require weekly injections.   

THINGS NOT TO DO WHILE ON THE INJECTIONS

*DO NOT SKIP SHOTS UNLESS ADVISED TO DO SO

*DO NOT TAKE ANYONE ELSE’S MEDICATION 

*DO NOT STOP AND THE RE-START WITHOUT DISCUSSING WITH NP FIRST 

*DO NOT GO UP ON THE DOSE TOO QUICKLY 

*DO NOT GIVE UP JUST BECAUSE THE SCALE DOES NOT MOVE WHEN YOU WANT IT TO MOVE 

*DO NOT ALLOW YOURSELF TO BECOME CONSTIPATED; NOTIFY THE NP SO SOLUTIONS CAN BE OFFERED

SIDE EFFECTS

· Nausea

· Diarrhea

· Reflux

· Heartburn

· Constipation

· Abdominal Pain

· Belching

· Vomiting

· Gas

· Gallbladder Problem

· Pancreatitis

· Hypoglycemia

· Changes in Vision in Patients with Type II DM

· Depression or Thoughts of Suicide

·  ****Kidney Problems due to severe diarrhea, and vomiting which may lead to dehydration****

WAYS TO MANAGE SIDE EFFECTS

· Drink 1 gallon of water a day (if tolerated and not contraindicated)

· Add a fiber supplement

· Increase your green leafy veggies

· Eat healthy fats

· Take a daily multivitamin, omega 3 caps, and consider a hair, nail, skin vitamin

· Avoid fried and fatty foods

· Lower your carbohydrate intake