7,10 The mechanisms by which GLP-1 influences bone remodelling are thought to involve several pathways
Ling Yang, [email protected] These authors have contributed equally to this work Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers
Through the years, GLP-1s have improved after exenatide (Byetta), we saw liraglutide (Victoza / Saxenda), dulaglutide (Trulicity), semaglutide (Ozempic / Wegovy), and tirzepatide (Mounjaro / Zepbound)
Your provider may consider temporarily reducing the dose by one tier, adding a prokinetic prescription like metoclopramide (5 to 10 mg before meals), or ordering gastric emptying testing if symptoms suggest an underlying motility disorder