Victoza Dosing & Titration Guide

Transcription

1 Victoza Dosing & Titration Guide

2 Do you need it? Who needs Victoza (GLP-1 agonist): Works for ALL people interested in weight loss Lowers glucagon, insulin and leptin (3 big causes of weight gain) People with a slow or damaged metabolism Those with PCOS, estrogen dominance or high testosterone 2

3 Starting Victoza Titrating Victoza & Starting Dose: Sensitive patients: - Start and stay at 0.6mg (monitor for weight loss) - Titration is based off of how much you lose & symptoms Normal patients: - Start with 0.6mg x7 days then increase to 1.2mg per day (injection) - Titration is based off of how much you lose - Do not exceed 3.0mg (special consideration for Saxenda) 3

4 Symptoms to watch out for Symptoms during your titration: Symptoms you may be getting too much - Extreme nausea or vomiting, some nausea is okay When to stop your titration: - Any symptoms that reduce quality of life (vomiting, etc.) Symptoms don t necessarily mean you need to stop titration, instead slow it down or back down on your dose Increase dose ONLY when you hit a weight loss plateau Continue using Victoza or other GLP-1 agonists for 3-4 months AFTER you reach target weight 4

5 Lab tests & how to tell if it s working Labs: Check insulin & leptin during therapy Leptin may spike even if you lose weight and this is okay Monitor thyroid function during weight loss (you may need less thyroid hormone over time) 5

6 Price Ways to get Victoza cheaper: Victoza is expensive & Insurance doesn t like to cover it Call insurance and ask which GLP-1 agonist they like (or symlin) -> use that one Try coupon codes online (google victoza coupon code) -> works for some people making it $25 per month Use covermymeds.com (prior authorization) Consider purchasing from Canadian pharmacy with prescription Consider other medications temporarily: rx for metformin + glipizide usually works 6

7 Victoza + Other medications Using Victoza with other medications: For best results should be used with thyroid hormone (T3 or NDT) Can be combined with metformin safely (caution if using with insulin) Can be safely used with supplements, with fasting, with dietary changes, with thyroid hormone and other hormones -> this is how you get the best results 7

8 Questions? 8

9 How to lose weight Who is this for? People with Hypothyroidism, Hashimoto s, Thyroid resistance or other thyroid imbalances People with PCOS, estrogen dominance, low progesterone People with insulin resistance, diabetes and pre-diabetes People with leptin resistance People looking for a sustainable way to lose weight using my weight loss strategies 9

10 Before & After 10

11 Before & After 11

12 What you get What s included: - Weekly shopping list + Recipe guide - Video series (never before shared on the blog) - Intermittent & Prolonged fasting protocol with variations - List of recommended high quality supplements to boost results - List of recommended medications to augment treatment and boost results - Exercise guide with recommendations on when to exercise and what exercises to perform for the best fat burnall of the science backing up the treatment recommendations - FAQ from hundreds of patients who have gone through this before you - Tips and tricks to make everything easier and get you your desired goal - List of specific weight loss medications that I use on patients that ACTUALLY work - 12

13 Videos & Guides How to Videos (In progress): T3 titration guide NDT titration guide GLP-1 agonist titration guide LDN titration guide Dietary recommendations and guide Testosterone, estrogen, progesterone guides How to use stimulants effectively Lab test and interpretation guide & More 13

14 Your questions FAQ Will this work for me? Do I need medications or supplements? What about vitamin injections? What s included? Do I need a Doctor to help me? What if I live in a different country? What if I have dietary preferences? How much are the supplements? Can I share the program? How much does it cost? 14