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Obesity, Metabolic Syndrome, and Prediabetes
Center of Excellence
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No comments yet, be the first to start the discussion!
Ioan Andrei Veresiu
Sep 17, 2021
Adding insulin is, in my opinion, the rational decision.
Melvyn Rubenfire
Sep 17, 2021
agree to add insulin
Gurdeep Sethi
Sep 17, 2021
I would add Basal insulin and DPP4. For glycolic control and for TG's I will replace Gemfibrogyl with lipaglyn 4 mg
Nagaram Reddy
Sep 17, 2021
I would start SGLT2 inhibitor like empagliflozin starting dose of 10 mg OD
AHMED ALKAREEM
Sep 17, 2021
I suggest testing prolactin before making disease worse ..
John Whillier
Sep 18, 2021
Give her a CGM to find out what is really driving her condition, not the theoretical assumptions.
Ruddy Brown
Sep 22, 2021
How do you address the severe muscle aches?
S. Edany
Nov 17, 2021
SGL2i for DM tx+ EPA for high TG
Nagaram Reddy
Dec 11, 2021
I would add Empagliflozin start with 10 mg OD and after one month increase to 25 Mg OD, also consider adding Semaglutide start with 0.5 Mg Sub Cut weekly and gradually increase as needed can go up to 2 mg
If need we can add sitagliptin
Apr 20, 2024
Pending Moderator approval.
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Anika
Anam
MD
Ioan Andrei Veresiu
Sep 17, 2021
Melvyn Rubenfire
Sep 17, 2021
Gurdeep Sethi
Sep 17, 2021
Nagaram Reddy
Sep 17, 2021
AHMED ALKAREEM
Sep 17, 2021
John Whillier
Sep 18, 2021
Ruddy Brown
Sep 22, 2021
S. Edany
Nov 17, 2021
Nagaram Reddy
Dec 11, 2021
Apr 20, 2024
Pending Moderator approval.