In 1 small study, women with poorer mean preconception creatinine clearance (CrCl) of 61 mL/min/1.73 m During pregnancy, serum creatinine (not eGFR) should be used, as eGFR will underestimate GFR in pregnancy (57,58)
Telehealth cuts the medical visit cost (typically $50-$150 vs
Schedule prompt medical evaluation (within 24-48 hours) for: Gradually worsening shortness of breath over days to weeks Dyspnea with exertion that is new or significantly worse than baseline Breathing difficulty accompanied by persistent cough or fever Leg swelling, weight gain, or orthopnea (difficulty breathing when lying flat) Respiratory symptoms associated with severe ongoing nausea, vomiting, or inability to maintain hydration Patients should not discontinue GLP-1 medications without medical guidance (except in cases of suspected severe allergic reactions), but should contact their healthcare provider promptly to discuss respiratory symptoms
Plan Design Elevance, Kaiser Permanente, and CVS Health have already announced their intent to add Wegovy to Medicare formularies
En resumen: la investigacin sobre los medicamentos GLP-1 y el riesgo de cogulos sanguneos es bastante contradictoria