Patients on GLP-1 drugs like semaglutide or tirzepatide are ineligible for fat transfer surgery for six months after stopping. High mycotoxin patients need hyperbaric oxygen therapy for 1-3 months before and after surgery, plus antifungal medication like itraconazole.
Now, I will say that if somebody wants a fat transfer, for me, there are very specific criteria to get in my ecosystem. You cannot be taken to GLP1 in the last six months and want to come get a fat transfer. So for everybody listening, GLP1s work that semaglutide, tirzepatide and there's going to be more effective ones coming. So that combination, which you can order off the Internet now and just get compounded and sent to your home, absolutely makes no sense. Those drugs work. Most powerful drugs in my career that I can think of. They change behavior. So they work. Because his biggest problem and your biggest problem always is changing someone's behavior, making the right lifestyle choices and doing the right thing. So this actually does that for you. Now, if someone's got a bad mycotoxin test, like a high burden, we're going to run them through hyperbaric 1 to 3 months pre op, 1 to 3 months post op, we're going to put them on an antifungal, usually itraconazole, we're going to put them on a medical grade binder if they want a fat transfer. There's too much at risk for an autologous tissue transfer. If you're not being very aggressive about upfront taking care of the problem.
