The initiation of an SGLT2 inhibitor or a GLP-1 receptor agonist compared with a DPP-IV inhibitor was associated with lower CV events and death without increasing the overall incidence rate of severe safety outcomes, regardless of frailty status, Elisabetta Patorno, MD, DrPH , associate professor of medicine at Harvard Medical School and associate epidemiologist in the division of pharmacoepidemiology and pharmacoeconomics at Brigham and Womens Hospital, and colleagues wrote
Obesity (Treatment summaries)
Foods that may contribute to symptoms include : Eggs (particularly egg yolks, which are rich in sulphur-containing amino acids) Red meat and processed meats (beef, pork, lamb, bacon, sausages) Cruciferous vegetables (broccoli, cauliflower, Brussels sprouts, cabbage) Allium vegetables (onions, garlic, leeks) Some dairy products (milk, cheese, particularly aged varieties) Certain legumes (chickpeas, lentils in large quantities) Protein supplements (whey protein powders) This does not mean eliminating these foods entirely, but rather moderating portions and frequency, particularly during the initial weeks of Mounjaro treatment or following dose increases
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Interestingly, the author described a reaction similar to the paradoxical reaction, where some patients experienced a temporary worsening of symptoms including a slight elevation of temperature, weakness, stiffness of muscles and fingers, loss of appetite, buzzing or blowing in ears, and conjunctivitis lasting from several hours to several days