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GLP1 to combat weight gain and A1C increase while on ADT?
Prostate Cancer | Last Active: Jul 25 12:06pm | Replies (34)Comment receiving replies
@jeffmarc I agree 100% - but the old saying applied here - for me at least - "easier said than done."
I'm 5' 7" and have gone from 180 to 193 lbs in 9 months. Can I eat better - absolutely. Does ADT make that even more difficult for me because of how my body is responding? Yes.
My A1C was near 6.2 a few years back and I adjusted my diet and got it down to 5.9 on my own. Then it slowly crept up and I went on Metformin. Back down to 5.9 consistently the last few years until ADT kicked in and it jumped to 6.3.
I'm hoping the GLP1 would be a quick way to get everything under control - BUT - it's not the ultimate answer. I need to control my diet better - I know that.
Thanks for the feedback!
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@jbristow3682 At 5'7" as long as you weigh 173+ pounds you have a BMI of 27.1 and qualify for the prediabetic program if on Medicare.
The Wegovy pill is not easy to take. Need to take the pill on an empty stomach (at least 4 hours since last eat/drink) with no more than 7 oz. of plain water and not eating or drinking anything for another 30 minutes. At maximum dose you get 175mg of semaglutide per week from the pill and 2.4mg from the injection. The Wegovy injection is more effective. The Zepbound injection is more effective than either form of Wegovy. Both injections use very small needles (32 gage 4mm) designed to inject into fat tissue. Either can be done at anytime without regard to eating/drinking, etc.
The Lilly pill (Foundayo) is not as effective as the Wegovy pill at maximum doses. However, it can be taken at any time of day with or without food or drink so is much more flexible. You can get this pill as effective or more effective than Wegovy pill at all doses except 25mg.
Both pills still require titration (like shots). Starter doses are $149, then $199. The effective doses are both priced at $299 for a 30-day supply. The Wegovy shot and Zepbound also have lower cost for the starter doses. At effective doses the cash Zepbound price is $449 for 4 injections while Wegovy is $349 for 4 injections. Since there is competition in the cash business both are cheaper than Ozempic or Mounjaro which are the same injections marketed for diabetes.
I would stay away from the compounders. Semaglutide went generic in India in March and there are now 6 India pharmas selling the injections. Since these must be kept refrigerated, there is an issue with getting it from overseas.