6.6 When to Refer Referral to a clinician or dietitian may be appropriate when: Persistent GI intolerance limits intake Weight loss exceeds 20% body weight Multiple laboratory abnormalities are present Underlying malabsorptive or gastrointestinal disease exists Patient is elderly or medically complex GLP-1 therapy should not occur in isolation from nutritional oversight when risk factors are present
You have to pay for the Plus+ membership before you even know if you qualify, compounded GLP-1 options are no longer available, lab work may add extra costs, and lifestyle coaching is limited compared with more weight focused clinics
Cardiovascular benefits of GLP-1-based therapies in patients with diabetes mellitus type 2: Effects on endothelial and vascular dysfunction beyond glycemic control
Simeon Siegel, retail & services analyst, BMO Capital Markets Story produced by Amiel Weisfogel
Phentermine can increase heart rate and blood pressure, while GLP-1 agonists generally show neutral to cardioprotective effects
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