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Weight loss that works with your body, not against it

Discover what your body really needs to lose weight.
Get started arrow_forward

Effective medications

Expert, virtual clinical care

Plan personalized for you


Effective medications

Expert, virtual clinical care

Plan personalized for you
More than 200K members served
A weight loss plan made just for you
When it comes to reaching a healthy weight, every path is different.
Get started arrow_forward
Consult with a clinician in less than 24 hours
Work with board-certified clinicians trained in weight loss to find the right
medication for you
Get daily lifestyle guidance and a dedicated coach
Stay the course with support from a coach, our progress app, an AI-powered
assistant, and a community of members like you
Unlock your MetabolicPrint™
Explore your personalized profile that uncovers the root causes of your weight
challenges, based on your genetics, history, and habits
Brought to you by doctors who know weight loss best
Get started arrow_forward
“Our clinicians understand that it takes more than diet and exercise for many
people to lose weight. We partner with our members to find the right solutions
for them.”
Dr. Rekha Kumar
Found’s Chief Medical Officer, Former Medical Director of the American Board of
Obesity Medicine
1%
Most Americans struggle with their weight, yet only 1% of American doctors are
trained in obesity medicine. Found’s doctor-led approach is designed by that 1%.
20%*
Lose up to 20% of your body weight in your first year with Found through
personalized treatment combining prescription medication and complete lifestyle
guidance.
70%
40-70% of weight may be genetically predetermined. Our providers uncover for the
root causes of your weight to build the right plan for you.
*Results based on a 72 week clinical trial studying Zepbound (15 mg), paired
with diet and exercise, in patients without diabetes and with BMI ≥30, or BMI
≥27 and a weight-related diagnosis. Medication prescriptions are up to a medical
provider's discretion.
“Our clinicians understand that it takes more than diet and exercise for many
people to lose weight. We partner with our members to find the right solutions
for them.”
Dr. Rekha Kumar
Found’s Chief Medical Officer, Former Medical Director of the American Board of
Obesity Medicine
You’re more than your
Emotional responses Genetic predisposition Hormonal imbalance Slow metabolism


CELEBRATE YOUR JOURNEY

With Found, you’ll find joy in your body. *
Jessica
Lost
100 lb.
Libby
Lost
64 lb.
Angela
"I can run and play with my son"
Colleen
Lost
120 lb.
Shawn
"The first or second day I started taking the medications, I didn't have the
hunger pains"
Bonnie
“Through Found, I feel cared for”
Jessica
Lost
100 lb.
Libby
Lost
64 lb.
Angela
"I can run and play with my son"
Colleen
Lost
120 lb.
Shawn
"The first or second day I started taking the medications, I didn't have the
hunger pains"
Bonnie
“Through Found, I feel cared for”
* Individual results may vary



AS SEEN ON


4.7
Based on 5.8K Apple Ratings

Found Health is a member of the American Heart Association Innovators' Network
It's not just about the weight you've lost, it's about the life you've found.
Get started arrow_forward


YOUR QUESTIONS, ANSWERED.

Need help? Get in touch with us here.
 * What medications do clinicians at Found prescribe?
   
   Found currently uses 12 different medications to work with your biology to
   help you lose weight. You can learn more about each of them here. Found's
   program includes FDA-approved anti-obesity medications and other medicines
   prescribed "off-label." Clinical evidence shows these medications are
   effective in helping people lose weight. Prescribing a medication to treat a
   condition other than the one it was approved for is called "off-label
   prescribing," which is legal, safe, and common: 1 out of 5 prescriptions
   written in the U.S. are off-label. Your clinician will review your medical
   history, weight history, and lifestyle to personalize a treatment plan to
   work with your unique biology. One more note: Prescriptions are up to a
   medical provider’s discretion. Found does not dictate prescribing practices
   or interfere with the medical judgment of our affiliated medical providers.

 * Do Found's medications have side effects?
   
   Like with any medication, side effects can occur. For many medications, the
   more common side effects often subside in a few weeks. It’s important to tell
   your health care provider if you experience any issues when taking a new
   medication and ask for their medical advice. Detailed side effects and risk
   information for specific medications are here.

 * How is Found different from an in person weight clinic?
   
   Found prescription program is designed by one of the top obesity specialists
   in the country. Rather than waiting for months for an in-person appointment,
   you will have access to board-certified medical professionals trained in
   obesity medicine right away who will be able to personalize a weight care
   treatment plan to work with your biology from a wide selection of 12
   different medications (including GLP-1s) that can help guide you throughout
   your weight loss journey. In addition to access to clinicians, Found also
   gives you access to health coaches, an exclusive in-app community where you
   can get support for your journey, and an expert-designed behavior change
   program to help you make lasting lifestyle changes so that you can reach your
   goals. Telehealth weight care has fast become one of the most effective and
   easiest ways to safely access and deliver healthcare. To date, Found has
   served more than 200,000 people looking to lose weight. With this
   comprehensive care team at your fingertips, Found gives you the health
   benefits of in-person care from the comfort of your home.

 * What is the cost of the program?
   
   To view the pricing options available to you, please click here to go to our
   website and take your pre-purchase quiz. Click "take the quiz" to get
   started. After confirming your path, it will bring you to the checkout page
   for you to complete your order. At checkout, you will be able to view our
   current pricing options.
   
   Keep in mind that if you are prescribed a GLP-1 medication or if you decide
   to use your own pharmacy, the medication will not be included in your
   subscription fee.

 * Does found require insurance?
   
   Found does not accept insurance. Your monthly membership includes the cost of
   many of the commonly prescribed medications we offer as long as they are
   filled by one of our partnering e-pharmacies.
   
   GLP-1s (Ozempic®, Wegovy®, Mounjaro®, and others) are not included in the
   cost of the program. If a Found-affiliated provider determines that the best
   medication for you is a GLP-1, we will work with you to navigate the
   insurance process and see if your insurance company will cover the cost of
   the prescription.
   
   Sometimes insurance companies require people to try other medicines before
   they will approve a prescription for a GLP-1. Before they approve a
   prescription for a GLP-1. If this happens, your Found provider can work with
   you to create another effective treatment plan for your weight care.


MEDICATION DISCLAIMERS

To view full medication disclaimers, select a medication in the dropdown below.
metformin
 * metformin
 * bupropion
 * naltrexone
 * topiramate
 * zonisamide
 * Zepbound®
 * Mounjaro®
 * Ozempic®
 * Rybelsus®
 * Saxenda®
 * Trulicity®
 * Victoza®
 * Wegovy®

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.

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.

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.


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.


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.


Box warning
Warning
Side effects
Drug interactions

BLACK BOX WARNING:

Terzepatide is 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 it if you have ever had thyroid
cancer. In studies with rodents, tirzepatide caused thyroid tumors, including
thyroid cancer; it is not known if it 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 health care provider about your medical history prior to taking
Zepbound.

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

People of childbearing age should use reliable birth control while taking this
medication. Use a non-oral contraceptive method (instead of an oral
contraceptive). If you use oral contraception, add a barrier method of
contraception during the first four weeks after initiation and for four weeks
after dose escalation.

This medication may cause fetal harm. 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 two months before trying. Notify your
doctor if you have kidney, liver, or pancreas problems.

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

Stop using Zepbound 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 a very rapid heartbeat.

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

WARNING

Please get in touch with 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, and diarrhea can cause
   dehydration and kidney issues and make kidney problems worse in individuals
   who have pre-existing kidney conditions; it may sometimes lead to the need
   for hemodialysis.
 * Severe stomach problems, including abdominal bloating or pain, acid reflux, a
   feeling of fullness after eating just a few bites of food, nausea, and
   vomiting, including vomiting undigested food eaten a few hours earlier. This
   may be a symptom of gastroparesis. Also tell your health care provider if you
   have stomach problems that will not go away.
 * An inability to pass gas or stool is a symptom of possible bowel obstruction.
   Other symptoms may include severe abdominal pain, nausea, and vomiting.
 * 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 or skin turning yellow or skin turns yellow,
   nausea/vomiting. If gallstones or inflammation of the gallbladder are
   suspected, further studies are needed.
 * Hepatitis, elevated liver enzymes/jaundice.
 * Diabetic retinopathy problems: Changes in vision in those with type 2
   diabetes, particularly vision problems, may worsen in those with a history of
   diabetic retinopathy.
 * Severe gastrointestinal disease: may cause gastrointestinal disease; do not
   it 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 (e.g., sulfonylurea), it is best to talk to your
   health care 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 your Zepbound 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 2 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, Zepbound can interact with alcohol and some
prescription and non-prescription drugs and herbal products. The risk of
hypoglycemia is increased when combined with insulin or insulin secretagogues
such as sulfonylureas. Zepbound delays gastric emptying and may impact the
absorption of oral medications. If you are on thyroid hormone medication, before
starting Zepbound please review the timing of taking it with your prescribing
doctor as it may need to be adjusted. The drug levels of medications with narrow
therapeutic windows (e.g., warfarin) should be monitored closely while on
Zepbound.

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

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

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

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.

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.

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.

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.

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.

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.

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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