Dina Peralta-Reich, MD, FAAP, FOMA, and Director of New York Weight Wellness Medicine said that the gastrointestinal side effects of these medications, like nausea and vomiting, may be worse in older people, which may set them up for dehydration, weakness, or nutritional deficiencies. Monitoring water intake can be challenging, and it is crucial to avoid dehydration, which may result in dizziness, falls, fainting, and possibly fractures, she said
Consider switching to non-oral contraceptive methods for more reliable protection while taking Mounjaro, or ensure youre using backup contraception during critical periods if continuing with oral contraceptives
These results strongly support the need for larger, randomized clinical trials to confirm these effects and explore the potential of repurposing GLP-1 RAs as a novel treatment for reducing harmful alcohol consumption
Critics frequently cite a Congressional Budget Office analysis estimating that broad Medicare coverage of anti-obesity medicines would increase federal deficits by about $35 billion from 2026 through 2034
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Pre-existing diabetes with autonomic neuropathy is another major risk factor, as diabetic neuropathy already compromises gastric nerve function
