Other medications that are not recommended before surgery include other SGL2 inhibitors like Invokana (canagliflozin), Farxiga (dapagliflozin), and Steglatro (ertugliflozin.) Glucagon-like peptide-1 (GLP1) receptor agonists, like Ozempic (semaglutide), Rybelsus (semaglutide), Mounjaro (tirzepatide), and Trulicity (dulaglutide), are stopped in advance of surgery too
Enteric-coated peppermint oil capsules are even more effective for lower GI bloating because they bypass the stomach and release in the intestines where they are most needed
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Together, we explore the often-overlooked connections between hormone imbalances, nutrient deficiencies, thyroid dysfunction, autoimmune disease, and metabolic stressors like insulin resistance
Common Side Effects (and When They Show Up) If youve just started semaglutide, you might notice some of the following symptoms during your first few doses: Nausea Diarrhea Constipation Fatigue Headache Indigestion or heartburn Bloating, gas, or burping (sometimes with a strong, sulfur-like smell) Dizziness Feeling full quickly or loss of appetite These are all pretty typical and tend to show up within the first 4 to 8 weeks, especially when youre adjusting to the medication or increasing your dose
In fact, they may be better suited to complement your GLP-1 journey, instead of replacing it
