are glp 1 considered specialty drugs Comparing Ozempic, Wegovy and Other GLP-1 The GLP-1 Agonists and Obesity:

Deacon CF, Nauck MA, Toft-Nielsen M, et al.: Both subcutaneously and intravenously administered glucagonlike peptide I are rapidly degraded from the NH2-terminus in type lI diabetic patients and in healthy subjects

Notably, GLP-1RAs slow the transit time of the gastrointestinal (GI) tract and suppress appetite, which could displace nutrient intake and result in mineral and vitamin deficiencies

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prophylactic measures in high-risk individuals may be considered [8,9]

If you hit a plateau on three times weekly dosing, returning to daily dosing is a reasonable first step before escalating the dose