GLP-1 FAQ

 

1. I was not home/left my package outside/forgot to retrieve my package with GLP-1 medication. I put it in the refrigerator as soon as I discovered it. Is it still good to use?

All medications should be refrigerated when they are received. Guidance on specific medications is below:

Semaglutide: Still able to be used not refrigerated for 3 days, up to 90 degrees F.
Tirzepatide: Still able to be use not refrigerated for 3 days, up to 90 degrees F.

2. I injected too much medication. What should I do?

You may experience some GI upset or other side effects. Please call or text the Starke Wellness nurse line, so we may determine the dose you took and walk you through a plan. 

3. My vial did not contain enough medication for the fourth dose, it spilled out or leaked from the syringe

Please call us so we may document what happened, walk through preventive measures, and potentially dispense another vial or syringe of medication at an additional cost.

4. I missed my GLP-1 injection. What should I do?

Less than 2 days have passed: inject NOW.
More than 2 days have passed: WAIT. Take at your next scheduled weekly injection day.

5. I am experiencing side effects after starting GLP-1 or increasing my dose. How long will it last?

Most side effects occur after the initial dose and can last as long as the second dose. Most side effects lessen over time. If you suffer from severe side effects, please contact Starke Wellness directly.

6. What happens if my side effects do not subside?

We may titrate your dose back down to a tolerable level that still allows weight loss and try to increase more slowly. Starke Wellness, also offers a prescription for anti-nausea medication. Remember to stay hydrated, avoid fatty and fried food, get movement in, and eat small and frequent meals.

7. How long will GLP-1 last in my body?

The half-life of GLP-1 in the body is 7 days. The medication can take up to 80 days to metabolize completely out of the body.

8. I’m on GLP-1 and found out that I’m pregnant. What should I do?

Stop taking the medication immediately and call your physician.

9. I just started GLP-1 but I’m still hungry. Is the medication working?

The medication is started at a low level and titrated up slowly. This allows the body time to adapt and tolerate the medication while minimizing side effects. Hydration helps tremendously in curbing appetite. After taking the medication for a longer period of time, you will experience less food noise. 

10. How long will it take to receive my medication?

If you are in geographic proximity to our location, you may receive your first dose in the clinic or arrange to pick up in office. Drop-shipping the medication to your home takes 7-10 business days. Please schedule your next medication order 1 week before taking your last dose of medication to ensure there are no gaps in your medication schedule. It is the patients responsibility to renew their medication, since Starke Wellness is not a membership service. Texting for a refill is ideal, and can be done the day you take your 2nd to last dose meds through the Starke Wellness nurse line.

11. My child ingested my GLP-1 medication? What should I do?

Call Poison Control at 1.800.222.1222 immediately. Have the medication vial or syringe available to provide details. Call your child’s pediatrician to see if they should go to the urgent care or emergency department. Bring the bottle of medication to the facility. NOTE: The GLP-1 drug class is FDA-approved in ages 12+.

12. My pet ingested my GLP-1 medication. What should I do?

Call your pet’s veterinarian immediately. Have the bottle or syringe on hand to provide details.

13. I have reached my goal weight on GLP-1 or no longer meet FDA criteria. What is the next step?

Continue onto the GLP-1 maintenance program with 1-2 injections per month. Studies show, patients steadily gain weight back over the years without maintenance.

14. I have an upcoming medical procedure involving anesthesia. Should I stop my GLP-1 injections?

Yes; do not inject at least one week prior to your surgery or procedure. Check with your physician to confirm your stop date as a longer period may be recommended.

15. I noticed some hair loss since beginning GLP-1 injections. Is this normal?

Telogen Effluvium is temporary with weight loss. Some patients will lose hair because of decreased caloric intake, specifically 900 calories or less. Lipotropic injection, vitamins D&E and minerals iron & zinc can help minimize hair loss. Taking a biotin supplement may also be useful for brittle hair and nails.

16. I began to have headaches and/or fatigue on GLP-1? Do I need to stop the medication?

Staying hydrated is very important as many patients become dehydrated when their appetite decreases. We can prescribe anti-emetics for nausea to improve appetite. Electrolytes are helpful. Over-the-counter analgesics such as acetaminophen or ibuprofen may help to alleviate headache.

17. I am experiencing constipation/ GI issues, while taking a GLP-1 medication. What do I do?

Increase fiber intake: Eat more fruits, vegetables, whole grains, and legumes. Consider adding a fiber supplement if needed.

Magnesium Citrate: a fantastic way to keep yourself regular, can be found in any drug store in the health and vitamins section.

Stay hydrated: Drink at least 8-10 cups of water daily to help soften stools.

Exercise regularly: Physical activity, such as walking, can promote healthy digestion.

Consider over-the-counter remedies: Stool softeners or mild laxatives may help if lifestyle adjustments aren’t enough.

If constipation persists or worsens, contact Starke Wellness for further guidance.