Wednesday, May 1, 2024

A New Use for Wegovy Opens the Door to Medicare Coverage for Millions of People with Obesity

wegovy hair loss

But if you think you’re having a medical emergency, you should call 911 or your local emergency number. This is "thin privilege" and often remarked upon by people who lose weight. It was that voice in her head that made her worry she wouldn't be able to keep losing weight naturally, would plateau, and eventually put the weight back on. After all, research has found that people who lose weight struggle to keep it off long term.

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Stomach problems

wegovy hair loss

Because semaglutide and tirzepatide suppress appetite, people typically eat significantly less than their bodies are used to while taking the drugs. "If someone is having new hair loss, they should see their clinician to evaluate for all possible causes," Weintraub said. "Their provider can evaluate for underlying causes like thyroid dysfunction, iron deficiency, and Vitamin D deficiency." Dr. Jennifer McCauley with UNC Health works closely with patients with weight management issues. This is the most serious warning from the Food and Drug Administration (FDA). A boxed warning alerts doctors and patients about drug effects that may be dangerous.

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The lists below include some of the main side effects that have been reported in people using Wegovy. For information about other possible side effects of the drug, talk with your doctor or pharmacist. Her weight has since dropped to a little less than 190 pounds. After always being cast as a character actor, she’s looking for new roles.

How might expanded coverage of Wegovy affect Medicare spending?

Though we often think of stressors as emotional, such as grief related to losing a loved one or divorce, Massick said that weight loss is a physical stressor to the body. Massick agreed that it’s important to discuss your diet with your doctor. Making sure to  include enough protein, iron, B vitamins — especially biotin — and zinc could help prevent some hair shedding if malnutrition is a factor, she added.

As Tjelle lost weight, she gained confidence and could feel herself getting fitter as she was able to exercise more. She'd heard of the " " workout trend, which involves walking on a treadmill at a 12% incline at 3 mph for 30 minutes. That was too challenging at first, so she started at a 2% incline and built up. Tjelle wanted her new lifestyle to be sustainable, so she started small. She committed to going to the gym every day but started out by just walking on the treadmill for half an hour. The change also reflects the reality that the weight-loss mantra "eat less and move more" — a pillar of the $90 billion weight-loss industry — is easier said than done if a person isn't in the right circumstances.

If your doctor confirms you’ve had a mild allergic reaction to Wegovy, they’ll decide if you should continue using it. However, some people are reporting they’re shedding something other than pounds. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Other side effects to be aware of include those in the eye (diabetic retinopathy) and serious allergic reactions. Dr. Andrew Kraftson, director of the weight navigation program at Michigan Medicine, compares the phenomenon to a tree in autumn. Trees lose their leaves but no buds replace them until spring.

“There’s no way to completely prevent it but there are ways to minimize it,” Dr. Ali says. He recommends making sure you get “adequate nutrition,” including having plenty of protein in your diet. Adolescents 12 years and older treated with Wegovy had higher rates of gallstones (3.8%) and gallbladder inflammation (0.8%) in studies when compared to adults. Adolescents who received the placebo did not have reports of gallbladder problems.

The Food and Drug Administration (FDA) is currently reviewing popular drugs such as Ozempic and Wegovy over possible links to suicidal ideation, hair loss, and aspiration. While gallbladder disease is not as common as general stomach side effects with Wegovy, it can be much more serious. In Wegovy studies in adults, the occurrence of gallstones occurred in 1.6% of those who received Wegovy and 0.7% of those who received a placebo (an inactive shot). Gallbladder inflammation was even less common, and occurred in 0.6% of adults receiving Wegovy and 0.2% of placebo-treated patients. With other GLP-1 receptor agonists and other semaglutide products, some cases of acute pancreatitis have been fatal.

Conditions

Tjelle heard that the weight-loss drug Wegovy, which contains the same ingredient as Ozempic, tended to silence food noise and had been linked to reducing symptoms of PCOS. The cost of prescription drugs varies depending on your insurance plan and which pharmacy you use. Refer to our Wegovy price guide page for more information about the cost. Still, he urges the NHS to alter the system so that these medications are available at a lower tier of weight-management services, making the drugs accessible to community-level clinics and lowering the costs for the NHS. Some people who have lowered their weight with the medication can maintain their new physique through diet and exercise alone, says Sharma. However, these individuals are at high risk of weight rebound if they return to old habits or undergo a stressful situation, he adds.

The gym franchise Equinox started a new personal training program in January for prescription-holders who want to preserve or build muscle mass as they shed unwanted pounds. Wegovy’s recommended starting dosage for weight loss and weight management is 0.25 mg once per week. Your doctor will slowly increase your starting dose up to the recommended dose. Some studies have found large decreases in the risk of depression and anxiety; others found smaller but still positive effects. It seems to bend the curve on alcoholism and drug addiction and curb other addictive behaviors, as well — compulsive shopping and sex addiction, gambling and nail biting, smoking and skin picking.

Be sure to talk to your health care professional if you have questions about side effects. “I have many patients who come in and they’ve been on these drugs for years with me, and they say, ‘I’m so worried about ileus.’ And I say, ‘Well, did you get ileus? ’ ‘No, I didn’t get it.’ ‘Okay, well, then don’t worry,’” Lofton said. For now, the FDA is just “evaluating the need for regulatory action,” so it’s not clear if anything will change with these drugs going forward. Pulmonary aspiration—where food material, saliva, or some other substance accidentally enters a person’s airway and may end up in the lungs—has a less-defined relationship with GLP-1 drugs. “These side effects weren’t shown in a clinical trial, but the clinical trial only counts for, maybe 3,000 patients on both ends.

Yes, Wegovy is meant to be taken long term to help manage your weight. You’ll take it as part of a long-term weight management plan, which will also include a reduced-calorie diet and regular exercise. (An active ingredient is what makes a drug work.) Wegovy belongs to a group of drugs called glucagon-like peptide-1 (GLP-1) receptor agonists. Since the drugs suppress the appetites of people taking them, Glanbia and other companies are marketing their products as a source of adequate nutrients for people taking GLP-1s.

“These new drugs should be prescribed by a doctor with an in-person visit that includes a physical exam and weight being taken,” Dr. Kipnis said. The spokesperson told MNT the FDA monitors the safety of drugs throughout their life cycle, including post-approval. However, a recent study funded by the National Institutes of Health (NIH) concluded there was no evidence that GLP-1 drugs containing semaglutide cause suicidal thoughts. The FDA investigation is not the first time an association between suicidal ideation and GLP-1 medications has been reviewed. Despite the possible side effects, GLP-1 drugs are considered safe. Medical News Today spoke with three obesity experts to learn more.

In addition to this, Wegovy enhances the production of insulin. Wegovy comes as an injection that is given once-a-week as a subcutaneous (under the skin) injection (shot) in your abdomen, thigh or upper arm. You’ll use the shot on the same day of each week, with or without a meal.

Your doctor will likely recommend stopping any other weight loss products you use before you start Wegovy. Call your doctor at once if you have signs of a thyroid tumor, such as swelling or a lump in your neck, trouble swallowing, a hoarse voice, or shortness of breath. In studies with rodents, Wegovy and medicines that work like Wegovy caused thyroid tumors, including thyroid cancer. It is not known if this medicine will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people.

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