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Gopal Grandhige, M.D., and the clinical team ensure that every weight-loss patient receives human-grade medications sourced from licensed compounding pharmacies, individualized dosing plans, and hands-on nutritional support from a concierge dietician

If lower doses were effective, we would have studied them

Metamucil, Citrucel) Weekly dosed GLP-1 agonists: Adipex-P/Lomaira (Phentermine) Bydureon BCise(Exenatide ER) Mounjaro/Zepbound (Tirzepatide) Ozempic/Wegovy(Semaglutide) Qsymia (Phentermine/Topiramate) Trulicity(Dulaglutide) The day before your procedure Anti-diarrheal medications: Colestid (colestipol) Lomotil, Imodium (loperamide) Questran (cholestyramine) The day of your procedure Daily dosed GLP-1 agonists: Adlyxin (Lixisenatide) Byetta (Exenatide IR) Rybelsus (Semaglutide) Saxenda/Victoza (Liraglutide) Morning dose of oral diabetic medication (Bring it with you) Step-by-Step Preparation Instructions 1 Week Prior to Colonoscopy Stop eating seeds, nuts, popcorn, tomatoes, corn, berries, granola with dried fruit, raisins Purchase the following items: 1 box Simethicone or Gas-X tablets 1 8.3 oz

The FDA continues to explain GLP-1 drugs should not be used in patients with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 (MEN 2). Today, experts agree that there is no real risk of thyroid cancer associated with GLP-1 drugs