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How do Ozempic and other GLP-1s interact with birth control
Adelhorst, K., Hedegaard, B., Knudsen, L
It revealed that of the 18,010 women in that cohort who were first prescribed GLP-1 medications during that time, only 21% reported using contraception, and 2.2% of women became pregnant within six months of starting GLP-1 treatment
Insurance coverage for GLP-1 medications has been expanding but remains inconsistent
GLP-1 agonists are being used in combination with basal insulin (Dungan & DeSantis, 2016), although this is not an FDA-approved indication (see rxlist.com) they should not be used as a substitute for basal insulin, as this has been found to result in a decline in glycemic control)(Dungan & DeSantis, 2016) Clinical trials indicate it can reduce HbA1c by ~0.8% Undergoes renal clearance, with dosage reduction needed if creatinine clearance falls to 25 mL/min, while European guidelines recommend a lower eGFR limit of 20 ml/min (Thomas et al, 2023)
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