As more & more liquid fills into the bursa, the swelling increases, causing pain, which increases with direct pressure or bending of the elbow
For many users, stabilizing at a sub-maximum dose provides an excellent balance of efficacy and tolerability
My recommendation is to always target your therapies and treatments to your body and that means trying to find the root cause of your weight gain
Currently, European and American guidelines state GLP-1 RA may be considered in patients with T2DM and HF if SGLT-2i not tolerated or contraindicated

Specialty Pharmacy Clinical Policy Bulletins, Aetna Non-Medicare Prescription Drug Plan, Subject: Weight Loss (BMI 35) GIP-GLP-1, GLP-1 Agonists PA with Limit 6450-C P08-2025 v8, Aetna (2026) Medicare GLP-1 Bridge, Centers for Medicare & Medicaid Services (2026) 2026 Aetna Pharmacy Drug Guide, High Value Plan, Aetna (2026) 2026 Aetna Pharmacy Drug Guide, Advanced Control Choice Plan, Aetna (2026) 2026 Aetna Pharmacy Drug Guide, Standard Opt Out Plan, Aetna (2026) 2026 Aetna Pharmacy Drug Guide, Advanced Control Plan Aetna Kentucky, Aetna (2026) 2026 Aetna Pharmacy Drug Guide, Basic Control Plan, Aetna (2026) 2026 Aetna Pharmacy Drug Guide, Standard Control Plan, Aetna (2026) 2026 Aetna Pharmacy Drug Guide, Standard Control Choice Plan, Aetna (2026) Aetna Better Health of Oklahoma Formulary Guide, Aetna (2026) Florida Medicaid Preferred Drug List, Florida Agency for Health Care Administration (2026) Medically accurate: SingleCares Medical Review Board analyzes all of our content to confirm its in line with current medical advice
