The answer depends on the patient's A1C, their weight-loss goals, and their willingness to navigate the step therapy process
However, if feeling worse lasts more than a few days, this could be due to overmethylation, other gene variations such as an expressed CBS gene variation that may need to be supported before adding methylation support, or a sensitivity to the supplements, and the supplements should be discontinued
Trulicity (dulaglutide): Manufactured by Eli Lilly and FDA-approved for type 2 diabetes, Trulicity has been named in both MDL 3094 and MDL 3163 and appears in approximately one quarter of the federal GLP-1 drug lawsuits reviewed by USA TODAY
Some patients respond exceptionally well to semaglutide's focused GLP-1 pathway, while others experience superior weight loss on tirzepatide's combination approach
Achievement of goals demonstrates capability
[24] IQVIA Institute for Human Data Science