An initial 30-minute office visit that includes counseling on diet and nutrition, and your first injection
Without provider oversight, patients may experience avoidable problems such as dehydration, poor nutrition intake, unmanaged side effects, inappropriate dosing or missed warning signs
However, in severe Chronic Kidney Disease (CKD) or dialysis patients, strict medical supervision is required before usage
Clinical studies have shown that both SGLT-2is and GLP-1RAs reduce body weight and lower the risk of hospitalization and mortality of cardiovascular disease such as AMI in patients with type 2 diabetes
Given these high rates of adverse events, and an as yet unverified adverse event signal of suicidal thoughts and self-injury [49, 103,104,105] (albeit with some recent contradictory evidence [106]), it is not advisable that GLP-1 receptor agonists be administered without proper medical consultation