The kidneys help get rid of extra B12
While dogs can produce some L-Carnitine internally, they often need additional amounts from their diet, especially if they have certain medical conditions
Practical management strategies include: Setting reminders for both tirzepatide injections and antibiotic doses to ensure adherence Keeping a symptom diary noting glucose readings, medication times, and any adverse effects Having a sick-day management plan that includes glucose targets, ketone testing, and when to contact your provider Maintaining adequate carbohydrate intake even if appetite is reduced, using easily digestible options if needed Contact your healthcare provider if you experience persistent hyperglycemia (blood glucose consistently above 250 mg/dL), positive ketones, signs of diabetic ketoacidosis (excessive thirst, frequent urination, fruity breath odor, confusion), or inability to maintain oral intake due to severe nausea or vomiting
They are distinct molecules that work through distinct mechanisms, and treating them as simple substitutes for each other misses critical pharmacological nuances that affect safety and efficacy
To view or add a comment, sign in GLP-1s and Pharmacy Benefits Last week the topic of how the pharmacy benefit firms should handle GLP-1s came up