Robert Lustig, MD, MSL, is Professor Emeritus of Pediatrics in the Division of Endocrinology at the University of California, San Francisco
Gastrointestinal effects represent the most common concern: Nausea and vomiting : May be pronounced when initiating either medication or during Wegovy dose escalation Diarrhoea or constipation : Both medications can affect bowel habits Reduced appetite : Wegovy's appetite-suppressing effects combined with SSRI-related nausea may significantly reduce food intake Abdominal discomfort : Bloating, dyspepsia, or gastric pain may occur To minimise gastrointestinal distress, consider taking escitalopram with food and following the gradual Wegovy dose escalation schedule precisely
Upper Arm For Ozempic in the arm, the preferred site is the outer upper arm, about 3-4 inches below the shoulder and above the elbow
The abdomen, upper thigh, and upper arm are standard rotation sites
We needed to keep to our integrative model and make sure we were using a personalized approach
