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The science The program Testimonials About FAQ Blog For Business
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The science The program Testimonials About FAQ Blog For Business Sign In

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Weight care,
your way.
It's not just about what you've lost, it's what you've found.
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15%
Lose up to 15% or more of your body weight safely and sustainably with Found*
200k
individuals have joined Found for their weight care journey
70%
of our weight may depend on biological factors such as metabolic rate, hormones,
and genes
*Individual results may vary


PERSONALIZED WEIGHT CARE, FOR LASTING CHANGE

At Found, we focus on getting you beyond the scale to a place where you feel
good physically, emotionally and mentally for the long-term.
Move beyond "eat less, move more"
Unlock sustainable habits
Experience personalized, ongoing support
Continue
The Found Program
Weight care is personal, let's treat it that way. Our weight care program is
tailored to your unique biology and lifestyle for lasting transformative
results.
Board-certified clinicians
 * 1:1 consults with board-certified clinicians trained in weight loss
   
 * Virtual appointments, no in-person office visits required
   
 * Found doctors customize your plan to your unique needs
   

Prescription medication
 * Our clinicians prescribe a wide range of medications to personalize your
   care*
   
 * Medication delivered to your door (with some exceptions)
   
 * No insurance requirements
   

Personal health coach
 * Expert guidance on weight care, nutrition, movement, and many other areas of
   wellness
   
 * Dedicated 1:1 coach support in the first four weeks to set you on the right
   path
   
 * Build sustainable habits with the help of your coach
   

Found mobile app
 * Keep track of your progress by logging your routines
   
 * Coaches use logged routines to personalize your weight loss program
   
 * Integrates with Apple Health and Google Fit
   

Supportive community
 * Celebrate your journey with thousands of other members
   
 * Share recipes, weight loss milestones, and roadblocks
   
 * Up the accountability by participating in monthly challenges and much more
   

*Prescriptions are up to a medical provider’s discretion. See below for complete
risk information. GLP-1s are not included in the cost of the program, but may be
covered by your insurance.
Continue
The Found difference
Lose up to 15% or more of your body weight safely and sustainably with Found.
Why Found?
 * Expertly designed clinical weight care program, serving 200,000+ members.
 * Wide range of prescription weight loss medications, like Ozempic® and
   metformin*
 * Clinical care combined with lifestyle guidance, dedicated coaching, and
   community support
 * Effective, long-term results
 * Access to board-certified clinicians trained in obesity medicine

Continue
*Ozempic® and metformin are only FDA-approved to treat type 2 diabetes.
Prescriptions are up to a medical provider’s discretion. See below for complete
risk information


A WHOLE-BODY APPROACH TO HEALTH

Your biology is only the beginning. We look at all the factors that go into
lasting weight care, and build a personalized, medically guided path just for
you.

Nutrition

Movement

Stress & emotional health

Sleep

Social support

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REAL WORLD SUCCESS STORIES

Join tens of thousands of members on the path to a healthier lifestyle.

Kim • Lost 53lbs

FOUND MOTIVATION

“When I started I was 238. Now I’m 185. It took taking the medicine, being
really committed to the lifestyle, and listening to my coach and having that
accountability to her.”

Tony • Lost 107lbs

FOUND JOY

“I never thought by making an impulsive choice to to click on the Found site I’d
be celebrating a 100lb weight loss in less than a year.”

Amy • Lost 83lbs

FOUND CONFIDENCE

“When I first started this I thought it was going to take me a year at least to
get to my first weight loss goal but I’m 3 months in and I’m so close!”


See all testimonials


LOVE YOUR WEIGHT CARE JOURNEY

Continue


MEDICATION DISCLAIMERS

Select a medication from the dropdown below:

metformin
metformin
bupropion
naltrexone
topiramate
zonisamide
orlistat
Mounjaro®
Ozempic®
Rybelsus®
Saxenda®
Trulicity®
Victoza®
Wegovy®


MEDICATIONS

 * metformin
 * bupropion
 * naltrexone
 * topiramate
 * zonisamide
 * orlistat
 * Mounjaro®
 * Ozempic®
 * Rybelsus®
 * Saxenda®
 * Trulicity®
 * Victoza®
 * Wegovy®


METFORMIN

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING: METFORMIN MAY CAUSE LACTIC ACIDOSIS

Postmarketing cases of metformin-associated lactic acidosis have resulted in
death, hypothermia, hypotension, and resistant bradyarrhythmias. Symptoms
included malaise, myalgias, respiratory distress, somnolence, dizziness, changes
in heart rate/rhythm, and abdominal pain. Laboratory abnormalities included
elevated blood lactate levels, anion gap acidosis, increased lactate/pyruvate
ratio; and metformin plasma levels generally >5 mcg/mL. In more than 20,000
patient-years exposure to metformin in clinical trials, there were no reports of
lactic acidosis. Reported cases have occurred primarily in diabetic patients
with significant renal insufficiency, including both intrinsic renal disease and
renal hypoperfusion, often in the setting of multiple concomitant
medical/surgical problems and multiple concomitant medications.

Risk factors include renal impairment, concomitant use of certain drugs, age ≥65
years old, radiological studies with contrast, surgery and other procedures,
hypoxic states, excessive alcohol intake, and hepatic impairment. Lactic
acidosis is a medical emergency and requires immediate treatment in the
hospital.


WARNING

Before using metformin, tell your healthcare provider about your medical
history, especially if you have:

 * kidney disease
 * heart disease or congestive heart failure
 * liver disease
 * metabolic acidosis or diabetic ketoacidosis
 * high ketone levels in your blood or urine
 * you use insulin or other diabetes medications

Talk to your healthcare provider if you are planning to become pregnant or if
pregnant or breastfeeding. Avoid alcohol while taking this medication. Talk to
your healthcare provider about discontinuing metformin prior to a surgical
procedure or an iodinated contrast imaging procedure. Stop metformin and notify
your healthcare provider immediately if you have an illness with severe diarrhea
and/or vomiting resulting in dehydration.


SIDE EFFECTS

Many people experience no side effects while taking metformin. The most common
side effects of metformin include:

 * diarrhea
 * nausea/vomiting
 * upset stomach (gas, bloating, and stomach cramps)

These symptoms may subside after the body adjusts to the medication. Taking your
medicine with the evening meal can help reduce these side effects.

Additional but rare side effects include:

 * low blood sugar (hypoglycemia)
 * feeling cold
 * unusual muscle pain
 * dizziness
 * slow or irregular heart rate
 * trouble breathing
 * metallic taste
 * changes to nails on fingers and toes
 * Low b12 levels


DRUG INTERACTIONS

As with other medications, metformin can interact with alcohol and certain
medications, including angiotensin-converting enzyme (ACE) inhibitors,
beta-blockers, corticosteroids, hormone replacement therapy and estrogens, oral
contraceptives, carbonic anhydrase inhibitors, nifedipine, thiazides or
furosemide and other diuretics, phenothiazines, phenytoin, nicotinic acid
(niacin), multidrug and toxin extrusion inhibitors, sympathomimetics, calcium
channel blockers, isoniazid (antibiotic for tuberculosis), insulin and glyburide
or other medications for diabetes, and medications for thyroid disease.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information.

To report suspected adverse reactions to metformin contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.


BUPROPION

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING: BUPROPION MAY CAUSE SUICIDAL THINKING AND BEHAVIOR AND OTHER
SERIOUS SIDE EFFECTS

Bupropion may cause psychiatric disorders, including suicidal thinking and
behavior, hallucinations, confusion, paranoia, irrational fears and manic
episodes (for people with undiagnosed bipolar disorder). The medicine could also
cause high blood pressure, fast irregular heart beats, seizures, acute
angle-closure glaucoma, and death. You should not stop taking bupropion abruptly
or without consulting your healthcare provider.


WARNING

Tell your healthcare provider about your medical history, especially if you have
any of the following conditions in which case you should NOT take bupropion:

 * seizure disorder
 * anorexia
 * Bulimia
 * use of an MAOI (monoamine oxidase inhibitor) such as Nardil®, Parnate® or
   Marplan® in the past 14 days
 * severe head injury
 * withdrawal from benzodiazepine or alcohol intoxication.

This drug may make you dizzy or drowsy or impair your judgment. Please do not
drive, operate heavy machinery, or perform any hazardous task until the effects
of bupropion are known to you. For anyone taking diabetes medications, please
have a discussion with your prescribing clinician prior to taking bupropion as
your diabetes medications may need to be adjusted as you lose weight. You should
wear medical identification stating that you are taking this drug so that
appropriate treatment can be given in a medical emergency.

Tell your healthcare provider right away if you experience anxiety, dry mouth,
irregular heartbeats, irritability or other mental depression or other mood or
mental changes or suicidal thoughts, restlessness, shaking, trouble sleeping,
buzzing or ringing in ears, skin hives, rashes or itching, confusion, fainting,
hyperventilation, hallucinations, seizures, trouble concentrating,
lightheadedness, chest discomfort, sweating, headaches, impulsivity or unusual
tiredness.

DO NOT take bupropion if you are planning to become pregnant or if pregnant or
breastfeeding.


SIDE EFFECTS

Many people experience no side effects while taking bupropion. Some of the most
common side effects (but not extremely frequent) are:

 * difficulty sleeping
 * headaches or migraines
 * nausea or vomiting
 * constipation
 * excessive sweating
 * dizziness
 * weight loss
 * decrease in appetite
 * blurred vision
 * dry mouth
 * nervousness
 * agitation or other mental changes
 * tremors
 * fast heart rate

Additional side effects include:

 * change in sense of taste
 * drowsiness
 * frequent need to urinate
 * sore throat
 * unusual feeling of well-being

These symptoms may subside after the body adjusts to the medication.


DRUG INTERACTIONS

As with other medications, bupropion can interact with alcohol and certain
prescription and non-prescription medications and herbal products, including
monoamine oxidase (MAO) inhibitors (like isocarboxazid, linezolid, phenelzine,
selegiline, tranylcypromine), dopaminergic medications (drugs that increase
dopamine levels in your system like levodopa and amantadine), drugs that affect
the central nervous system (CNS) like antihistamines or medicine for allergies
or colds, sedatives, tranquilizers, or sleeping medicines, medicine for
depression, medicine for anxiety, antipsychotics, theophylline, systemic
corticosteroids, prescription pain medicine or narcotics, medicine for attention
deficit and hyperactivity disorder, medicine for seizures or barbiturates,
muscle relaxants, or anesthetics, including some dental anesthetics.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information.

To report suspected adverse reactions to Bupropion contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.


NALTREXONE

 * Warning
 * Side effects
 * Drug interactions


WARNING

DO NOT take naltrexone if you are taking ANY opioids or opiate drugs or if you
are dependent on opioids or using methadone or buprenorphine, or if you are in
opioid withdrawal. If you take opioids/opiates right after stopping naltrexone
you may be more sensitive to them (and require lower doses) - which poses a risk
of overdose. Please talk to your provider before initiating any amount of
opioids/opiates after stopping naltrexone. Do not take this medication if you
have a sensitivity to it or any of its components.

Before using naltrexone, tell your healthcare provider about your medical
history, especially if you have:

 * kidney disease
 * liver disease (as it may cause liver dysfunction or hepatitis)
 * depression/suicidality
 * current or recent (7-14 days) use of any type of opioid or opiate drugs

This drug may make you dizzy or drowsy or impair your judgment. Please do not
drive, operate heavy machinery, or perform any hazardous task until the effects
of naltrexone are known to you. For anyone taking diabetes medications, please
have a discussion with your prescribing clinician prior to taking naltrexone as
your diabetes medications may need to be adjusted as you lose weight. You should
wear medical identification stating that you are taking this drug so that
appropriate treatment can be given in a medical emergency.

Tell your healthcare provider right away if you experience severe stomach or
abdominal pain changes in vision, eye pain, burning or swollen eyes, chest pain,
confusion, discomfort while urinating or frequent urination, fever,
hallucinations or seeing, hearing, or feeling things that are not there,
itching, mental depression or other mood or mental changes or suicidality,
ringing or buzzing in the ears, shortness of breath, swelling of the face, feet,
or lower legs or weight gain.

DO NOT take naltrexone if you are planning to become pregnant or if pregnant or
breastfeeding.


SIDE EFFECTS

Many people experience no side effects while taking naltrexone. Some of the most
common side effects (but not extremely frequent) are:

 * fatigue or low energy
 * difficulty sleeping
 * nervousness and anxiety
 * headache
 * nausea or vomiting
 * joint and muscle pain
 * stomach cramps or pain

Additional side effects include:

 * loss of appetite
 * diarrhea or constipation
 * increased energy
 * increased thirst
 * dizziness
 * skin rash
 * sexual problems in males
 * chills
 * runny nose
 * irritability or feeling down

These symptoms may subside after the body adjusts to the medication.


DRUG INTERACTIONS

As with other medications, naltrexone can interact with certain prescription and
non-prescription medications and herbal products, including dextromethorphan,
diarrhea medication, disulfiram, opioid pain or cough relievers (such as
codeine) and thioridazine.
Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information.

To report suspected adverse reactions to naltrexone contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.





TOPIRAMATE

 * Warning
 * Side effects
 * Drug interactions


WARNING

Before using topiramate, tell your healthcare provider about your medical
history, especially if you have:

 * narrow angle glaucoma and nearsightedness
 * kidney problems, such as kidney stones
 * liver problems
 * depression or thoughts of suicide
 * lung or breathing problems
 * metabolic acidosis
 * high blood ammonia levels
 * long-term diarrhea
 * low body temperature
 * a diet high in fat and low in carbohydrates, aka a ketogenic diet
 * brittle bones

Topiramate may cause some people to sweat less. It is recommended to avoid
alcohol and stay well hydrated while taking this medication.This drug may make
you dizzy or drowsy or impair your judgment. Please do not drive, operate heavy
machinery, or perform any hazardous task until the effects of topiramate are
known to you. For anyone taking diabetes medications, please have a discussion
with your prescribing clinician prior to taking topiramate as your diabetes
medications may need to be adjusted as you lose weight.

Topiramate may also cause birth defects (particularly there is a risk of cleft
lip and/or palate and low birth weight). Topiramate may cause breakthrough
bleeding. DO NOT take topiramate if you are planning to become pregnant or if
pregnant or breastfeeding.


SIDE EFFECTS

Many people experience no side effects while taking topiramate. Some of the most
common side effects (but not extremely frequent) are:

 * anorexia
 * weight loss
 * dizziness
 * fatigue or drowsiness
 * difficulty with concentration and psychomotor slowing
 * speech difficulty
 * nervousness
 * tingling or prickling sensations
 * abnormal vision
 * fever

Additional side effects include:

 * difficulty with memory
 * changes in taste
 * diarrhea
 * numbness
 * nausea
 * abdominal pain
 * upper respiratory tract infection
 * hair loss
 * changes in mood/suicidal thoughts

These symptoms may subside after the body adjusts to the medication.


DRUG INTERACTIONS

As with other medications, topiramate can interact with alcohol, marijuana and
certain medications, including antiepileptic drugs, CNS depressants, oral
contraceptives, lithium, other carbonic anhydrase inhibitors,
hydrochlorothiazide, pioglitazone and amitriptyline. Please consult the
pharmaceutical packaging for a full list of side effects, warnings, interactions
and additional information.

To report suspected adverse reactions to topiramate contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.





ZONISAMIDE

 * Warning
 * Side effects
 * Drug interactions


WARNING

DO NOT take zonisamide if you have an allergy to sulfa drugs. A potentially
fatal reaction can occur including a life threatening skin rash or a blood cell
condition.

Before using zonisamide, tell your healthcare provider about your medical
history, especially if you have:

 * kidney disease
 * liver disease
 * long-term diarrhea
 * lung or breathing problems
 * metabolic acidosis or diabetic ketoacidosis
 * high ketone levels in your blood or urine
 * you use insulin or other diabetes medications
 * history of psychiatric disorders or suicidal thoughts
   

Talk to your healthcare provider if you are planning to become pregnant or if
pregnant or breastfeeding. Avoid alcohol and stay well hydrated while taking
this medication. Do not drive, operate heavy machinery or perform any hazardous
task until the effects of this medication are known to you. Tell your healthcare
provider right away if you experience eye pain, changes in vision, eye swelling
or redness, yellowing of the eyes, confusion, difficulty concentrating, suicidal
thoughts, memory problems, trouble thinking clearly, agitation, irritability,
speech problems, decreased sweating, sudden flank pain, painful urination, dark
urine, increased fatigue, skin rash, faintness, easy bruising, irregular or fast
heartbeat, bone pain, rapid breathing, dizziness, or stomach pain that is severe
or that lasts more than a few days.


SIDE EFFECTS

Many people experience no side effects while taking zonisamide. The most common
side effects of zonisamide include:

 * dizziness and lightheadedness
 * fatigue and drowsiness
 * language and speech difficulty
 * metallic taste
 * nausea

Other possible side effects include:

 * trouble sleeping
 * lack of coordination
 * loss of appetite and weight loss
 * diarrhea
 * double vision
 * mood changes such as depression or irritability
 * difficulty concentrating

These symptoms may subside after your body adjusts to the medication.


DRUG INTERACTIONS

As with other medications, zonisamide can interact with certain medications,
including carbonic anhydrase inhibitors (such as acetazolamide), orlistat (if
using zonisamide for a seizure disorder), phenobarbital, primidone, rifamycins,
glucocorticoids, and St. John's wort.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information. Do not stop taking this
medication without consulting your healthcare provider because some conditions
may become worse when the drug is suddenly stopped.

To report suspected adverse reactions to zonisamide contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.





ORLISTAT

 * Warning
 * Side effects
 * Drug interactions


WARNING

Do not use orlistat if you have had an organ transplant because the medicine
interferes with the medicines used to prevent transplant rejection. There have
been rare reports of liver injury in people taking orlistat.

Before using orlistat tell your healthcare provider about your medical history,
especially if you have:

 * gallbladder problems
 * kidney stones
 * pancreatitis

Ask your healthcare provider before you use orlistat if you are taking any of
the following prescription medications:

 * anticoagulants (blood thinning medicine)
 * amiodarone (heart medicine)
 * diabetes medicine
 * thyroid disease medicine
 * seizure medicine (for a seizure disorder)
 * antiretrovirals (HIV medicine)
 * taking any other weight loss products

You should not take orlistat if you are planning to become pregnant or if
pregnant or breastfeeding. Do not use orlistat if you are not overweight or if
you have been diagnosed with problems absorbing food. When using this
medication, you should also take a multivitamin once a day at bedtime, and
follow a well-balanced, reduced-calorie, low-fat diet. If you have any serious
side effects, including, itching, yellow eyes or skin, dark urine, loss of
appetite, severe or continuous abdominal pain, hives, vomiting, chest pain,
rectal bleeding, constipation that lasts more than 7 days, difficulty swallowing
or breathing, or you are taking medicine for seizures and your seizures happen
more often or get worse, stop using the medication and talk to your healthcare
provider.


SIDE EFFECTS

Many people experience no side effects while taking orlistat. Some of the most
common side effects (but not extremely frequent) are:

 * diarrhea
 * oily stools or spotting
 * stomach discomfort
 * gas
 * more frequent bowel movements that may be hard to control

Additional side effects include:

 * loss of appetite
 * diarrhea or constipation
 * increased energy
 * increased thirst
 * dizziness
 * skin rash
 * sexual problems in males
 * chills
 * runny nose
 * irritability or feeling down

These symptoms may subside after the body adjusts to the medication.


DRUG INTERACTIONS

Do not take orlistat if you are taking cyclosporine, warfarin or you are
allergic to any of the ingredients in the capsules. Do not take thyroid
medication or any fat-based supplements within 2 hours of taking Alli.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information.

To report suspected adverse reactions to orlistat contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.





MOUNJARO®

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING:

GLP-1s are contraindicated in individuals with a history of medullary thyroid
carcinoma, a family history of such, or in patients with multiple endocrine
neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer.
In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer;
it is not known if they will cause thyroid tumors or cancer in humans. Please
notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or
swelling in your neck, or shortness of breath. 

If you experience a medical emergency, call 911 or go to the nearest emergency
room.

Tell your healthcare provider about your medical history prior to taking
Mounjaro®.

Avoid alcohol while taking this medication. If you’re taking diabetes
medications, please discuss this with your prescribing doctor before starting
Mounjaro®, as your diabetes medications may need to be adjusted as you lose
weight.

Females of reproductive potential should use adequate contraception while taking
this medication. It is advised to use a non-oral contraceptive method (instead
of oral contraceptive) or, if using oral contraception- add a barrier method of
contraception 4 weeks after initiation and 4 weeks after dose escalation. 

Do not take this medication if pregnant, trying to get pregnant or
breastfeeding. If you plan to become pregnant, this medication needs to be
stopped at least 2 months before trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Mounjaro® and call your healthcare provider immediately if you have
severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Mounjaro® and get medical help right away if you have any symptoms of
a serious allergic reaction, including swelling of your face, lips, tongue, or
throat; problems breathing or swallowing; severe rash or itching; fainting or
feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been
reported. Discontinue Mounjaro® if suspected and promptly seek medical advice.


WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side
effect becomes problematic or you experience:

 * Severe nausea and/or vomiting resulting in dehydration-  it is important to
   stay well hydrated and drink plenty of fluids while on this medication 
 * Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause
   dehydration and kidney issues and make kidney problems worse in individuals
   who have pre-existing kidney conditions; may sometimes lead to the need for
   hemodialysis 
 * Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in
   your neck, or shortness of breath (see black box warning below)
 * Pancreatitis: Severe pain in your abdomen or back that will not go away 
 * Acute gallbladder disease - Pain in the middle or right upper stomach, fever,
   white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
   If gallstones or inflammation of the gallbladder is suspected further studies
   are needed.
 * Hepatitis/Elevated liver enzymes/Jaundice
 * Diabetic retinopathy problems: Changes in vision in those with type II
   diabetes, particularly vision problems may worsen in those with a history of
   diabetic retinopathy 
 * Severe gastrointestinal disease - may cause gastrointestinal disease; do not
   use if you have a history of severe gastrointestinal disease 
 * Signs of low blood sugar (for example, dizziness, weakness, shakiness,
   jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion,
   slurred speech, sweating, or lightheadedness). While this is rare with
   GLP-1s, if it occurs, please seek in-person care immediately. If you have
   these symptoms, try having liquid or food containing sugar (around 15-20
   grams) —drinking juice, having regular soda, or eating some hard candies
   right away, as this will help raise your blood sugar quickly. If taken with
   insulin or an insulin secretagogue (ie sulfonylurea) it is best to talk to
   your healthcare provider about possibly lowering the dose of these
   medications to lower the risk of hypoglycemia. 
 * Increasing heart rate
 * Worsening depression, behavior changes, or suicidality
 * Note: Never share the Mounjaro® pen with other people


SIDE EFFECTS INFORMATION

Many people experience no side effects. Some of the most common or potential
side effects include:

 * Nausea
 * Constipation
 * Vomiting
 * Diarrhea
 * Abdominal Pain
 * Headache
 * Indigestion 
 * Injection site reactions
 * Dizziness
 * Back pain
 * Increased Lipase or Amylase 
 * Altered taste
 * Nasopharyngitis (common cold)
 * Passing Gas
 * Bloating
 * Belching
 * Gastroenteritis
 * Decreased appetite 
 * Fatigue
 * Gastroesophageal reflux disease
 * Low blood sugar (hypoglycemia) in those with type II diabetes
 * Upset stomach

These symptoms often subside as your body adjusts to the medications. Please
notify your provider if side effects persist. For a complete list of side
effects, review the medication packaging inserts.


DRUG INTERACTIONS

As with other medications, Mounjaro® can interact with alcohol and certain
prescription and non-prescription medications and herbal products. The risk of
hypoglycemia is increased when combined with insulin or insulin secretagogues
such as sulfonylureas. Mounjaro® delays gastric emptying and may impact the
absorption of oral medications. If you are on thyroid hormone medication, prior
to starting Mounjaro®, please review the timing of taking your thyroid hormone
medication with the doctor who prescribes it as it may need to be adjusted.The
drug levels of medications with narrow therapeutic windows (ie warfarin) should
be monitored closely while on Mounjaro®. 

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information. 

To report suspected adverse reactions to Mounjaro® contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.


OZEMPIC®

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING:

GLP-1s are contraindicated in individuals with a history of medullary thyroid
carcinoma, a family history of such, or in patients with multiple endocrine
neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer.
In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer;
it is not known if they will cause thyroid tumors or cancer in humans. Please
notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or
swelling in your neck, or shortness of breath. 

If you experience a medical emergency, call 911 or go to the nearest emergency
room.

Tell your healthcare provider about your medical history prior to taking
Ozempic®.

Avoid alcohol while taking this medication. If you’re taking diabetes
medications, please discuss this with your prescribing doctor before starting
Ozempic®, as your diabetes medications may need to be adjusted as you lose
weight.

Use adequate contraception while taking this medication. Do not take this
medication if pregnant, trying to get pregnant or breastfeeding. If you plan to
become pregnant, this medication needs to be stopped at least 2 months before
trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Ozempic® and call your healthcare provider immediately if you have
severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Ozempic® and get medical help right away if you have any symptoms of
a serious allergic reaction, including swelling of your face, lips, tongue, or
throat; problems breathing or swallowing; severe rash or itching; fainting or
feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been
reported. Discontinue Ozempic® if suspected and promptly seek medical advice.


WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side
effect becomes problematic or you experience:

 * Severe nausea and/or vomiting resulting in dehydration-  it is important to
   stay well hydrated and drink plenty of fluids while on this medication 
 * Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause
   dehydration and kidney issues and make kidney problems worse in individuals
   who have pre-existing kidney conditions; may sometimes lead to the need for
   hemodialysis 
 * Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in
   your neck, or shortness of breath (see black box warning below)
 * Pancreatitis: Severe pain in your abdomen or back that will not go away 
 * Acute gallbladder disease - Pain in the middle or right upper stomach, fever,
   white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
   If gallstones or inflammation of the gallbladder is suspected further studies
   are needed.
 * Hepatitis/Elevated liver enzymes/Jaundice
 * Diabetic retinopathy problems: Changes in vision in those with type II
   diabetes, particularly vision problems may worsen in those with a history of
   diabetic retinopathy 
 * Severe gastrointestinal disease - may cause gastrointestinal disease; do not
   use if you have a history of severe gastrointestinal disease 
 * Signs of low blood sugar (for example, dizziness, weakness, shakiness,
   jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion,
   slurred speech, sweating, or lightheadedness). While this is rare with
   GLP-1s, if it occurs, please seek in-person care immediately. If you have
   these symptoms, try having liquid or food containing sugar (around 15-20
   grams) —drinking juice, having regular soda, or eating some hard candies
   right away, as this will help raise your blood sugar quickly. If taken with
   insulin or an insulin secretagogue (ie sulfonylurea) it is best to talk to
   your healthcare provider about possibly lowering the dose of these
   medications to lower the risk of hypoglycemia. 
 * Increasing heart rate
 * Worsening depression, behavior changes, or suicidality
 * Never share the Ozempic® pen with other people


SIDE EFFECTS

Many people experience no side effects. Some of the most common or potential
side effects include:

 * Nausea
 * Constipation
 * Vomiting
 * Diarrhea
 * Abdominal Pain
 * Headache
 * Indigestion 
 * Injection site reactions
 * Dizziness
 * Back pain
 * Increased Lipase or Amylase 
 * Altered taste
 * Nasopharyngitis (common cold)
 * Passing Gas
 * Bloating
 * Belching
 * Gastroenteritis
 * Decreased appetite 
 * Fatigue
 * Gastroesophageal reflux disease
 * Low blood sugar (hypoglycemia) in those with type II diabetes
 * Upset stomach

These symptoms often subside as your body adjusts to the medications. Please
notify your provider if side effects persist. For a complete list of side
effects, review the medication packaging inserts.


DRUG INTERACTIONS

As with other medications, Ozempic® can interact with alcohol and certain
prescription and non-prescription medications and herbal products. The risk of
hypoglycemia is increased when combined with insulin or insulin secretagogues
such as sulfonylureas. Ozempic® delays gastric emptying and may impact the
absorption of oral medications. If you are on thyroid hormone medication, prior
to starting Ozempic®, please review the timing of taking your thyroid hormone
medication with the doctor who prescribes it as it may need to be adjusted. The
drug levels of medications with narrow therapeutic windows (ie warfarin) should
be monitored closely while on Ozempic®.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information. 

To report suspected adverse reactions to Ozempic® contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.


RYBELSUS®

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING:

GLP-1s are contraindicated in individuals with a history of medullary thyroid
carcinoma, a family history of such, or in patients with multiple endocrine
neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer.
In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer;
it is not known if they will cause thyroid tumors or cancer in humans. Please
notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or
swelling in your neck, or shortness of breath. 

If you experience a medical emergency, call 911 or go to the nearest emergency
room.

Tell your healthcare provider about your medical history prior to taking
Rybelsus®.

Avoid alcohol while taking this medication. If you’re taking diabetes
medications, please discuss this with your prescribing doctor before starting
Rybelsus®, as your diabetes medications may need to be adjusted as you lose
weight.

Use adequate contraception while taking this medication. Do not take this
medication if pregnant, trying to get pregnant or breastfeeding. If you plan to
become pregnant, this medication needs to be stopped at least 2 months before
trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Rybelsus® and call your healthcare provider immediately if you have
severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Rybelsus® and get medical help right away if you have any symptoms of
a serious allergic reaction, including swelling of your face, lips, tongue, or
throat; problems breathing or swallowing; severe rash or itching; fainting or
feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been
reported. Discontinue Rybelsus® if suspected and promptly seek medical advice.


WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side
effect becomes problematic or you experience:

 * Severe nausea and/or vomiting resulting in dehydration-  it is important to
   stay well hydrated and drink plenty of fluids while on this medication 
 * Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause
   dehydration and kidney issues and make kidney problems worse in individuals
   who have pre-existing kidney conditions; may sometimes lead to the need for
   hemodialysis 
 * Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in
   your neck, or shortness of breath (see black box warning below)
 * Pancreatitis: Severe pain in your abdomen or back that will not go away 
 * Acute gallbladder disease - Pain in the middle or right upper stomach, fever,
   white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
   If gallstones or inflammation of the gallbladder is suspected further studies
   are needed.
 * Hepatitis/Elevated liver enzymes/Jaundice
 * Diabetic retinopathy problems: Changes in vision in those with type II
   diabetes, particularly vision problems may worsen in those with a history of
   diabetic retinopathy 
 * Severe gastrointestinal disease - may cause gastrointestinal disease; do not
   use if you have a history of severe gastrointestinal disease 
 * Signs of low blood sugar (for example, dizziness, weakness, shakiness,
   jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion,
   slurred speech, sweating, or lightheadedness). While this is rare with
   GLP-1s, if it occurs, please seek in-person care immediately. If you have
   these symptoms, try having liquid or food containing sugar (around 15-20
   grams) —drinking juice, having regular soda, or eating some hard candies
   right away, as this will help raise your blood sugar quickly. If taken with
   insulin or an insulin secretagogue (ie sulfonylurea) it is best to talk to
   your healthcare provider about possibly lowering the dose of these
   medications to lower the risk of hypoglycemia. 
 * Increasing heart rate
 * Worsening depression, behavior changes, or suicidality


SIDE EFFECTS

Many people experience no side effects. Some of the most common or potential
side effects include:

 * Nausea
 * Constipation
 * Vomiting
 * Diarrhea
 * Abdominal Pain
 * Headache
 * Indigestion 
 * Dizziness
 * Back pain
 * Increased Lipase or Amylase 
 * Altered taste
 * Nasopharyngitis (common cold)
 * Passing Gas
 * Bloating
 * Belching
 * Gastroenteritis
 * Decreased appetite 
 * Fatigue
 * Gastroesophageal reflux disease
 * Low blood sugar (hypoglycemia) in those with type II diabetes
 * Upset stomach

These symptoms often subside as your body adjusts to the medications. Please
notify your provider if side effects persist. For a complete list of side
effects, review the medication packaging inserts.


DRUG INTERACTIONS

As with other medications, Rybelsus® can interact with alcohol and certain
prescription and non-prescription medications and herbal products. The risk of
hypoglycemia is increased when combined with insulin or insulin secretagogues
such as sulfonylureas. Rybelsus® delays gastric emptying and may impact the
absorption of oral medications. If you are on thyroid hormone medication, prior
to starting Rybelsus®, please review the timing of taking your thyroid hormone
medication with the doctor who prescribes it as it may need to be adjusted. The
drug levels of medications with narrow therapeutic windows (ie warfarin) should
be monitored closely while on Rybelsus®.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information. 

To report suspected adverse reactions to Rybelsus® contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.


SAXENDA®

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING:

GLP-1s are contraindicated in individuals with a history of medullary thyroid
carcinoma, a family history of such, or in patients with multiple endocrine
neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer.
In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer;
it is not known if they will cause thyroid tumors or cancer in humans. Please
notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or
swelling in your neck, or shortness of breath. 

If you experience a medical emergency, call 911 or go to the nearest emergency
room.

Tell your healthcare provider about your medical history prior to taking
Saxenda®.

Avoid alcohol while taking this medication. If you’re taking diabetes
medications, please discuss this with your prescribing doctor before starting
Saxenda®, as your diabetes medications may need to be adjusted as you lose
weight.

Use adequate contraception while taking this medication. Do not take this
medication if pregnant, trying to get pregnant or breastfeeding. If you plan to
become pregnant, this medication needs to be stopped at least 2 months before
trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Saxenda® and call your healthcare provider immediately if you have
severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Saxenda® and get medical help right away if you have any symptoms of
a serious allergic reaction, including swelling of your face, lips, tongue, or
throat; problems breathing or swallowing; severe rash or itching; fainting or
feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been
reported. Discontinue Saxenda® if suspected and promptly seek medical advice.


WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side
effect becomes problematic or you experience:

 * Severe nausea and/or vomiting resulting in dehydration-  it is important to
   stay well hydrated and drink plenty of fluids while on this medication 
 * Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause
   dehydration and kidney issues and make kidney problems worse in individuals
   who have pre-existing kidney conditions; may sometimes lead to the need for
   hemodialysis 
 * Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in
   your neck, or shortness of breath (see black box warning below)
 * Pancreatitis: Severe pain in your abdomen or back that will not go away 
 * Acute gallbladder disease - Pain in the middle or right upper stomach, fever,
   white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
   If gallstones or inflammation of the gallbladder is suspected further studies
   are needed.
 * Hepatitis/Elevated liver enzymes/Jaundice
 * Diabetic retinopathy problems: Changes in vision in those with type II
   diabetes, particularly vision problems may worsen in those with a history of
   diabetic retinopathy 
 * Severe gastrointestinal disease - may cause gastrointestinal disease; do not
   use if you have a history of severe gastrointestinal disease 
 * Signs of low blood sugar (for example, dizziness, weakness, shakiness,
   jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion,
   slurred speech, sweating, or lightheadedness). While this is rare with
   GLP-1s, if it occurs, please seek in-person care immediately. If you have
   these symptoms, try having liquid or food containing sugar (around 15-20
   grams) —drinking juice, having regular soda, or eating some hard candies
   right away, as this will help raise your blood sugar quickly. If taken with
   insulin or an insulin secretagogue (ie sulfonylurea) it is best to talk to
   your healthcare provider about possibly lowering the dose of these
   medications to lower the risk of hypoglycemia. 
 * Increasing heart rate
 * Worsening depression, behavior changes, or suicidality
 * Note: Never share the Saxenda® pen with other people


SIDE EFFECTS

Many people experience no side effects. Some of the most common or potential
side effects include:

 * Nausea
 * Constipation
 * Vomiting
 * Diarrhea
 * Abdominal Pain
 * Headache
 * Indigestion 
 * Injection site reactions
 * Dizziness
 * Back pain
 * Increased Lipase or Amylase 
 * Altered taste
 * Nasopharyngitis (common cold)
 * Passing Gas
 * Bloating
 * Belching
 * Gastroenteritis
 * Decreased appetite 
 * Fatigue
 * Gastroesophageal reflux disease
 * Low blood sugar (hypoglycemia) in those with type II diabetes
 * Upset stomach

These symptoms often subside as your body adjusts to the medications. Please
notify your provider if side effects persist. For a complete list of side
effects, review the medication packaging inserts.


DRUG INTERACTIONS

As with other medications, Saxenda® can interact with alcohol and certain
prescription and non-prescription medications and herbal products. The risk of
hypoglycemia is increased when combined with insulin or insulin secretagogues
such as sulfonylureas. Saxenda® delays gastric emptying and may impact the
absorption of oral medications. If you are on thyroid hormone medication, prior
to starting Saxenda®, please review the timing of taking your thyroid hormone
medication with the doctor who prescribes it as it may need to be adjusted.The
drug levels of medications with narrow therapeutic windows (ie warfarin) should
be monitored closely while on Saxenda®.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information. 

To report suspected adverse reactions to Saxenda® contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.


TRULICITY®

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING:

GLP-1s are contraindicated in individuals with a history of medullary thyroid
carcinoma, a family history of such, or in patients with multiple endocrine
neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer.
In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer;
it is not known if they will cause thyroid tumors or cancer in humans. Please
notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or
swelling in your neck, or shortness of breath. 

If you experience a medical emergency, call 911 or go to the nearest emergency
room.

Tell your healthcare provider about your medical history prior to taking
Trulicity®.

Avoid alcohol while taking this medication. If you’re taking diabetes
medications, please discuss this with your prescribing doctor before starting
Trulicity®, as your diabetes medications may need to be adjusted as you lose
weight.

Use adequate contraception while taking this medication. Do not take this
medication if pregnant, trying to get pregnant or breastfeeding. If you plan to
become pregnant, this medication needs to be stopped at least 2 months before
trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Trulicity® and call your healthcare provider immediately if you have
severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Trulicity® and get medical help right away if you have any symptoms
of a serious allergic reaction, including swelling of your face, lips, tongue,
or throat; problems breathing or swallowing; severe rash or itching; fainting or
feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been
reported. Discontinue Trulicity® if suspected and promptly seek medical advice.


WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side
effect becomes problematic or you experience:

 * Severe nausea and/or vomiting resulting in dehydration-  it is important to
   stay well hydrated and drink plenty of fluids while on this medication 
 * Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause
   dehydration and kidney issues and make kidney problems worse in individuals
   who have pre-existing kidney conditions; may sometimes lead to the need for
   hemodialysis 
 * Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in
   your neck, or shortness of breath (see black box warning below)
 * Pancreatitis: Severe pain in your abdomen or back that will not go away 
 * Acute gallbladder disease - Pain in the middle or right upper stomach, fever,
   white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
   If gallstones or inflammation of the gallbladder is suspected further studies
   are needed.
 * Hepatitis/Elevated liver enzymes/Jaundice
 * Diabetic retinopathy problems: Changes in vision in those with type II
   diabetes, particularly vision problems may worsen in those with a history of
   diabetic retinopathy 
 * Severe gastrointestinal disease - may cause gastrointestinal disease; do not
   use if you have a history of severe gastrointestinal disease 
 * Signs of low blood sugar (for example, dizziness, weakness, shakiness,
   jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion,
   slurred speech, sweating, or lightheadedness). While this is rare with
   GLP-1s, if it occurs, please seek in-person care immediately. If you have
   these symptoms, try having liquid or food containing sugar (around 15-20
   grams) —drinking juice, having regular soda, or eating some hard candies
   right away, as this will help raise your blood sugar quickly. If taken with
   insulin or an insulin secretagogue (ie sulfonylurea) it is best to talk to
   your healthcare provider about possibly lowering the dose of these
   medications to lower the risk of hypoglycemia. 
 * Increasing heart rate
 * Worsening depression, behavior changes, or suicidality
 * Note: Never share the Trulicity® pen with other people


SIDE EFFECTS

Many people experience no side effects. Some of the most common or potential
side effects include:

 * Nausea
 * Constipation
 * Vomiting
 * Diarrhea
 * Abdominal Pain
 * Headache
 * Indigestion 
 * Injection site reactions
 * Dizziness
 * Back pain
 * Increased Lipase or Amylase 
 * Altered taste
 * Nasopharyngitis (common cold)
 * Passing Gas
 * Bloating
 * Belching
 * Gastroenteritis
 * Decreased appetite 
 * Fatigue
 * Gastroesophageal reflux disease
 * Low blood sugar (hypoglycemia) in those with type II diabetes
 * Upset stomach

These symptoms often subside as your body adjusts to the medications. Please
notify your provider if side effects persist. For a complete list of side
effects, review the medication packaging inserts.


DRUG INTERACTIONS

As with other medications, Trulicity® can interact with alcohol and certain
prescription and non-prescription medications and herbal products. The risk of
hypoglycemia is increased when combined with insulin or insulin secretagogues
such as sulfonylureas. Trulicity® delays gastric emptying and may impact the
absorption of oral medications. If you are on thyroid hormone medication, prior
to starting Trulicity®, please review the timing of taking your thyroid hormone
medication with the doctor who prescribes it as it may need to be adjusted.The
drug levels of medications with narrow therapeutic windows (ie warfarin) should
be monitored closely while on Trulicity®. 

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information. 

To report suspected adverse reactions to Trulicity® contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.


VICTOZA®

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING:

GLP-1s are contraindicated in individuals with a history of medullary thyroid
carcinoma, a family history of such, or in patients with multiple endocrine
neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer.
In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer;
it is not known if they will cause thyroid tumors or cancer in humans. Please
notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or
swelling in your neck, or shortness of breath. 

If you experience a medical emergency, call 911 or go to the nearest emergency
room.

Tell your healthcare provider about your medical history prior to taking
Victoza®.

Avoid alcohol while taking this medication. If you’re taking diabetes
medications, please discuss this with your prescribing doctor before starting
Victoza®, as your diabetes medications may need to be adjusted as you lose
weight.

Use adequate contraception while taking this medication. Do not take this
medication if pregnant, trying to get pregnant or breastfeeding. If you plan to
become pregnant, this medication needs to be stopped at least 2 months before
trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Victoza® and call your healthcare provider immediately if you have
severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Victoza® and get medical help right away if you have any symptoms of
a serious allergic reaction, including swelling of your face, lips, tongue, or
throat; problems breathing or swallowing; severe rash or itching; fainting or
feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been
reported. Discontinue Victoza® if suspected and promptly seek medical advice.


WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side
effect becomes problematic or you experience:

 * Severe nausea and/or vomiting resulting in dehydration-  it is important to
   stay well hydrated and drink plenty of fluids while on this medication 
 * Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause
   dehydration and kidney issues and make kidney problems worse in individuals
   who have pre-existing kidney conditions; may sometimes lead to the need for
   hemodialysis 
 * Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in
   your neck, or shortness of breath (see black box warning below)
 * Pancreatitis: Severe pain in your abdomen or back that will not go away 
 * Acute gallbladder disease - Pain in the middle or right upper stomach, fever,
   white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
   If gallstones or inflammation of the gallbladder is suspected further studies
   are needed.
 * Hepatitis/Elevated liver enzymes/Jaundice
 * Diabetic retinopathy problems: Changes in vision in those with type II
   diabetes, particularly vision problems may worsen in those with a history of
   diabetic retinopathy 
 * Severe gastrointestinal disease - may cause gastrointestinal disease; do not
   use if you have a history of severe gastrointestinal disease 
 * Signs of low blood sugar (for example, dizziness, weakness, shakiness,
   jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion,
   slurred speech, sweating, or lightheadedness). While this is rare with
   GLP-1s, if it occurs, please seek in-person care immediately. If you have
   these symptoms, try having liquid or food containing sugar (around 15-20
   grams) —drinking juice, having regular soda, or eating some hard candies
   right away, as this will help raise your blood sugar quickly. If taken with
   insulin or an insulin secretagogue (ie sulfonylurea) it is best to talk to
   your healthcare provider about possibly lowering the dose of these
   medications to lower the risk of hypoglycemia. 
 * Increasing heart rate
 * Worsening depression, behavior changes, or suicidality
 * Never share the Victoza® pen with other people 


SIDE EFFECTS

Many people experience no side effects. Some of the most common or potential
side effects include:

 * Nausea
 * Constipation
 * Vomiting
 * Diarrhea
 * Abdominal Pain
 * Headache
 * Indigestion 
 * Injection site reactions
 * Dizziness
 * Back pain
 * Increased Lipase or Amylase 
 * Altered taste
 * Nasopharyngitis (common cold)
 * Passing Gas
 * Bloating
 * Belching
 * Gastroenteritis
 * Decreased appetite 
 * Fatigue
 * Gastroesophageal reflux disease
 * Low blood sugar (hypoglycemia) in those with type II diabetes
 * Upset stomach

These symptoms often subside as your body adjusts to the medications. Please
notify your provider if side effects persist. For a complete list of side
effects, review the medication packaging inserts.


DRUG INTERACTIONS

As with other medications, Victoza® can interact with alcohol and certain
prescription and non-prescription medications and herbal products. The risk of
hypoglycemia is increased when combined with insulin or insulin secretagogues
such as sulfonylureas. Victoza® delays gastric emptying and may impact the
absorption of oral medications. If you are on thyroid hormone medication, prior
to starting Victoza®, please review the timing of taking your thyroid hormone
medication with the doctor who prescribes it as it may need to be adjusted. The
drug levels of medications with narrow therapeutic windows (ie warfarin) should
be monitored closely while on Victoza®.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information. 

To report suspected adverse reactions to Victoza® contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.


WEGOVY®

 * Box warning
 * Warning
 * Side effects
 * Drug interactions


BLACK BOX WARNING:

GLP-1s are contraindicated in individuals with a history of medullary thyroid
carcinoma, a family history of such, or in patients with multiple endocrine
neoplasia syndrome type 2. Do not take them if you have ever had thyroid cancer.
In studies with rodents, GLP-1s caused thyroid tumors, including thyroid cancer;
it is not known if they will cause thyroid tumors or cancer in humans. Please
notify your doctor ASAP if you develop trouble swallowing, hoarseness, a lump or
swelling in your neck, or shortness of breath. 

If you experience a medical emergency, call 911 or go to the nearest emergency
room.

Tell your healthcare provider about your medical history prior to taking
Wegovy®.

Avoid alcohol while taking this medication. If you’re taking diabetes
medications, please discuss this with your prescribing doctor before starting
Wegovy®, as your diabetes medications may need to be adjusted as you lose
weight.

Use adequate contraception while taking this medication. Do not take this
medication if pregnant, trying to get pregnant or breastfeeding. If you plan to
become pregnant, this medication needs to be stopped at least 2 months before
trying. This medication may cause fetal harm.

Notify your doctor if you have kidney, liver, or pancreas problems.

Stop using Wegovy® and call your healthcare provider immediately if you have
severe stomach or abdomen pain that will not go away, with or without vomiting.

Stop using Wegovy® and get medical help right away if you have any symptoms of a
serious allergic reaction, including swelling of your face, lips, tongue, or
throat; problems breathing or swallowing; severe rash or itching; fainting or
feeling dizzy; or very rapid heartbeat.

Serious hypersensitivity reactions (e.g., anaphylaxis and angioedema) have been
reported. Discontinue Wegovy® if suspected and promptly seek medical advice.


WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side
effect becomes problematic or you experience:

 * Severe nausea and/or vomiting resulting in dehydration-  it is important to
   stay well hydrated and drink plenty of fluids while on this medication 
 * Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause
   dehydration and kidney issues and make kidney problems worse in individuals
   who have pre-existing kidney conditions; may sometimes lead to the need for
   hemodialysis 
 * Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in
   your neck, or shortness of breath (see black box warning below)
 * Pancreatitis: Severe pain in your abdomen or back that will not go away 
 * Acute gallbladder disease - Pain in the middle or right upper stomach, fever,
   white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting.
   If gallstones or inflammation of the gallbladder is suspected further studies
   are needed.
 * Hepatitis/Elevated liver enzymes/Jaundice
 * Diabetic retinopathy problems: Changes in vision in those with type II
   diabetes, particularly vision problems may worsen in those with a history of
   diabetic retinopathy 
 * Severe gastrointestinal disease - may cause gastrointestinal disease; do not
   use if you have a history of severe gastrointestinal disease 
 * Signs of low blood sugar (for example, dizziness, weakness, shakiness,
   jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion,
   slurred speech, sweating, or lightheadedness). While this is rare with
   GLP-1s, if it occurs, please seek in-person care immediately. If you have
   these symptoms, try having liquid or food containing sugar (around 15-20
   grams) —drinking juice, having regular soda, or eating some hard candies
   right away, as this will help raise your blood sugar quickly. If taken with
   insulin or an insulin secretagogue (ie sulfonylurea) it is best to talk to
   your healthcare provider about possibly lowering the dose of these
   medications to lower the risk of hypoglycemia. 
 * Increasing heart rate
 * Worsening depression, behavior changes, or suicidality
 * Never share the Wegovy® pen with other people


SIDE EFFECTS

Many people experience no side effects. Some of the most common or potential
side effects include:

 * Nausea
 * Constipation
 * Vomiting
 * Diarrhea
 * Abdominal Pain
 * Headache
 * Indigestion 
 * Injection site reactions
 * Dizziness
 * Back pain
 * Increased Lipase or Amylase 
 * Altered taste
 * Nasopharyngitis (common cold)
 * Passing Gas
 * Bloating
 * Belching
 * Gastroenteritis
 * Decreased appetite 
 * Fatigue
 * Gastroesophageal reflux disease
 * Low blood sugar (hypoglycemia) in those with type II diabetes
 * Upset stomach

These symptoms often subside as your body adjusts to the medications. Please
notify your provider if side effects persist. For a complete list of side
effects, review the medication packaging inserts.


DRUG INTERACTIONS

As with other medications, Wegovy® can interact with alcohol and certain
prescription and non-prescription medications and herbal products. The risk of
hypoglycemia is increased when combined with insulin or insulin secretagogues
such as sulfonylureas. Wegovy® delays gastric emptying and may impact the
absorption of oral medications. If you are on thyroid hormone medication, prior
to starting Wegovy®, please review the timing of taking your thyroid hormone
medication with the doctor who prescribes it as it may need to be adjusted. The
drug levels of medications with narrow therapeutic windows (ie warfarin) should
be monitored closely while on Wegovy®.

Please consult the pharmaceutical packaging for a full list of side effects,
warnings, interactions and additional information. 

To report suspected adverse reactions to Wegovy® contact the FDA at
1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

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