Two clinicians explain why many GLP-1 prescriptions fail: no monitoring for gut motility problems, no tapering plan when patients hit their goals, and no regular check-ins. They argue for structured protocols instead of prescribe-and-forget.
I can only imagine the damage that it's causing to go through these clinics that are not taking a comprehensive approach. And that is why I appreciate your clinic so much, because you're like, no, we need to look foundationally at everything. So I'm assuming you are following that, right?
100%. And that's what I— the third thing is, so we talked about gut motility, we talked about the unintended losses, but the real issue with GLP-1s is that the root causes are never addressed when you're going to these online clinics, or if you're just getting it from your primary care doctor. I had a woman that was getting it from her doctor, but I had optimized her. But I said, oh, well, how often is she doing check-ins? She's like, oh, she's not. I'm like, what?
Oh, it's so frustrating. We're hearing the same thing. Someone locally that takes care of me is on it. Um, she, you know, does my beauty regimen And she didn't know the plan. I said, "How long are you supposed to be on this? What dose?" "I don't know. I'm just supposed to like keep going every month and getting an increased dose." There's no plan. And there's no plan to wean off of it. So that's something I think we definitely need to talk about is, okay, if you've actually lost the weight, you've hit your goal, or if you really are struggling with side effects and you need to come off of it, what does that look like?
