Yes, combining metformin and semaglutide is medically sound and may enhance results for some patients
Interestingly, according to Dr Naval, individuals with a history of thyroid cancer, pancreatic disease, or pancreatitis, and those who do not actually need them should not use them
This covers the full FDA-approved dosing range for tirzepatide (as used in Mounjaro and Zepbound)
Long-Term Health Consequences : Prolonged use may carry risks that have not been studied, including impacts on hormones or growth factors
The takeaway: if you are planning to request Wegovy through Express Scripts, ask your provider to prescribe a 90-day course of orlistat first, document your weight at the start and end of the 90 days, and submit the Wegovy prior authorization after the orlistat trial
L.Van HelderW