This is educational onlynot medical advice
Set weight-adjusted starting doses and escalation rules
But no matter what happens, insurance coverage or not, youre guaranteed access to the medication in some form with the monthly $500 (Ozempic/Wegovy/semaglutide) or $600 (Mounjaro/tirzepatide) subscription fee, either via a compounding pharmacy or through a prescription for the name brand drug from a traditional pharmacy
Shilo L, Sabbah H, Hadari R, et al
Co-treatment of 4d (A2-thio-imidazole derivative), a novel TGR5 agonist, and Sitagliptin (DPP-4 inhibitor) exhibited a GLP-1 secretion and glucose-lowering effect in animal models, while this compound alone exhibits only a slight 1.3-fold increase in GLP-1 secretion [182]
12-14 In phase III clinical studies in which exenatide was administered concomitantly with metformin, an SU, or metformin plus an SU, 48% of the 483 patients receiving exenatide 10 mcg twice daily reported nausea compared to 18% of the 483 patients receiving placebo