Researchers theorize this may be because: GIP activation may counterbalance some GLP-1 effects on the gut Dose escalation schedule allows more gradual adaptation Different pharmacokinetic profile may produce less pronounced peaks Serious Side Effects (Both Medications): These are rare but require immediate medical attention: Pancreatitis: Severe abdominal pain that may radiate to the back Risk: Less than 1% with both medications Usually occurs in first few months of treatment Requires immediate discontinuation if suspected Gallbladder Problems: Gallstones, cholecystitis (gallbladder inflammation) Symptoms: Right upper abdominal pain, nausea, fever More common with rapid weight loss May require surgical intervention Kidney Problems: Dehydration from vomiting/diarrhea can affect kidney function Watch for decreased urination, swelling in legs Stay well-hydrated, especially during side effect periods Thyroid Tumors (Black Box Warning): Both medications carry warnings about thyroid C-cell tumors Based on rodent studies

Patients who visit our training clinic - The Academy Clinic - tell us that they come to us specifically because of our reputation
As we age, NAD+ levels naturally decline, which has been linked to fatigue, cognitive decline, and metabolic issues
Those risks can include anything from severe allergic reactions and infections in the short term to a heightened chance of kidney damage and cancer down the line
At AgeWell Medicine & Aesthetics, we provide ongoing support, coaching, and accountability throughout your weight loss journey