Targeting Ventilatory Instability and High Loop Gain About one-third of patients with OSA have increased ventilatory instability or high loop gain, which is an exaggerated change in ventilatory drive in response to relatively small changes in the partial pressure of carbon dioxide (PaCO 2 ) levels detected by chemoreceptors [12]
Therefore, TRZ has a good therapeutic window with minimal toxicity (Min and Bain 2021)
Establish daily elimination: You must secure a daily, effortless bowel movement
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This direct cardiac depression overrides the baroreceptor reflex, resulting in bradycardia (Levy 1971
To minimise injection site reactions: Rotate injection sites consistently , never injecting in the same spot twice in succession Allow alcohol to dry completely before inserting the needle Use a smooth, confident technique rather than hesitant, slow penetration Avoid injecting into areas with existing bruises or irritation Systemic gastrointestinal side effects are more common than injection site reactions with Wegovy