Olympia champion and recent recipient of the Arnold Sports Festivals Lifetime Achievement award, already has a carnitine supplement available by way of Carnitine Max
What we check before starting a GLP-1, regardless of cancer history: Personal and family history of medullary thyroid cancer or MEN 2 Personal history of pancreatitis or significant gallbladder disease Current eating disorder symptoms Other medications that may interact Pregnancy plans, since these medications are not for use during pregnancy Whether age- and risk-appropriate cancer screening (mammogram, colonoscopy, cervical) is up to date Three things we try not to assume: That a strong family history of breast cancer changes someone's GLP-1 candidacy by itself
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If nausea or other GI symptoms are problematic, they may extend any step by an additional 2-4 weeks
If we have done the work and nausea is still limiting treatment, switching between Wegovy and Zepbound, or to Foundayo (the oral GLP-1), is a real option