As a last resort, and at your healthcare providers discretion, you can also stop taking Wegovy until it becomes more readily available or affordable
Side effects include: allergic reactions (rarely) cramps diarrhea fibrosing colonopathy (from high-dose PERT) nausea Digestive enzyme supplements are most needed for folks with metabolism challenges stemming from food intolerances and medical conditions

Nutritional Optimization Despite reduced appetite, maintaining adequate nutrition is essential: Ensure sufficient caloric intake : Work with a healthcare provider or registered dietitian to establish appropriate caloric goals that support gradual, healthy weight loss without excessive restriction Prioritize protein : During weight loss, aim for approximately 1.0-1.2 grams of protein per kilogram of body weight daily to preserve lean muscle mass (patients with kidney disease should follow their provider's specific recommendations) Focus on nutrient density : Choose foods rich in vitamins, minerals, and complex carbohydrates to support energy levels Eat smaller, frequent meals : This approach may be better tolerated given semaglutide's effect on gastric emptying Hydration and Electrolyte Balance Adequate fluid intake is crucial, particularly if experiencing gastrointestinal side effects

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*Science*, 350(6265), 1208-1213
DIY dose splitting/dilution: Some patients may use insulin syringes or count clicks on the pen to draw out smaller amounts than the lowest marketed dose, or dilute the drug to create microdoses