Many pharmacy benefit managers (PBMs) have implemented edits that flag or deny compounded GLP-1 claims automatically, requiring manual overrides or appeals
Choline and carnitine-rich foodsmeat, eggs, and dairycan be converted by gut flora into trimethylamine, which can then be turned into TMAO in our livera toxic compound which may increase our risk of heart failure, kidney failure, and atherosclerosis (heart attacks and strokes)
Lancet (London) 360:219223 Burlina AP, Sershen H, Debler EA, Lajtha A (1989) Uptake of acetyl-l-carnitine in the brain
Nausea making meals hard
This perspective aligns with recommendations from the American Gastroenterological Association Institute Rapid Clinical Practice Update Newsletter, which suggests that implementing a liquid diet on the day preceding sedation or surgery may represent a more acceptable alternative to discontinuing GLP-1RAs therapy 185 (See Figure 6)