Dr. Sarah Molasky

legitimately paying 500 a month for their co-payment for these medications and i just don't know that that's going to change unless the generics are significantly cheaper and in my experience they haven't been that much cheaper when the generics initially come out it seems to take at least five to ten years before enough other manufacturers are making that generic for it to bring the cost down and this is in america specifically other countries it's much cheaper

legitimately paying 500 a month for their co-payment for these medications and i just don't know that that's going to change unless the generics are significantly cheaper and in my experience they haven't been that much cheaper when the generics initially come out it seems to take at least five to ten years before enough other manufacturers are making that generic for it to bring the cost down and this is in america specifically other countries it's much cheaper

You know, like what is it, what I want to know is my patient's motivation, right? Like what is it that you're wanting to get out of this medication, weight loss, okay, how much weight are you looking to lose? Why that number? Are there certain activities you're not able to do right now that you miss being able to do or that you want to be able to do?

You know, like what is it, what I want to know is my patient's motivation, right? Like what is it that you're wanting to get out of this medication, weight loss, okay, how much weight are you looking to lose? Why that number? Are there certain activities you're not able to do right now that you miss being able to do or that you want to be able to do?

And based on their answers, you know, I'm just going to give honest opinions, you know, from me about whether I even think that medication is

And based on their answers, you know, I'm just going to give honest opinions, you know, from me about whether I even think that medication is

worth asking their clinician about, or if it makes more sense, like, hey, you haven't really, okay, you've, you've cut down on, like, this thing, but you're still, I'm looking at your cart, and you have these things in it that, you know, you have, like, three boxes of pop in your cart, like, just cut out the pop. cut out the pop for a month and see how you do.

worth asking their clinician about, or if it makes more sense, like, hey, you haven't really, okay, you've, you've cut down on, like, this thing, but you're still, I'm looking at your cart, and you have these things in it that, you know, you have, like, three boxes of pop in your cart, like, just cut out the pop. cut out the pop for a month and see how you do.

I would rather give like non-medical options to people first before they jump to a medical option. And people may be surprised for a pharmacist to say that, but just because I'm an expert on drugs doesn't mean I want everyone to be on them. I want people to be solely on the things they need to be on in order to maintain a happy, healthy life, whatever that looks like for them.

I would rather give like non-medical options to people first before they jump to a medical option. And people may be surprised for a pharmacist to say that, but just because I'm an expert on drugs doesn't mean I want everyone to be on them. I want people to be solely on the things they need to be on in order to maintain a happy, healthy life, whatever that looks like for them.

And, you know, I really try to push the lifestyle changes first. But if someone says, look, This is how I've been eating all this time. I'm working with a registered dietitian. I'm exercising, you know, in this many times day doing this type of exercise, and I'm still just not losing the weight. Depending on their body type, I might also ask if they've ever been put on metformin.

And, you know, I really try to push the lifestyle changes first. But if someone says, look, This is how I've been eating all this time. I'm working with a registered dietitian. I'm exercising, you know, in this many times day doing this type of exercise, and I'm still just not losing the weight. Depending on their body type, I might also ask if they've ever been put on metformin.

And metformin was one of the drugs I wanted to talk about that's a diabetes med, but it's also used for various issues like polycystic ovarian syndrome. pre-diabetes and insulin resistance.

And metformin was one of the drugs I wanted to talk about that's a diabetes med, but it's also used for various issues like polycystic ovarian syndrome. pre-diabetes and insulin resistance.

And for some people who hold a lot of fat, like on their torso, rather than like all throughout their body or towards their lower body, insulin resistance might be part of what's going on because insulin resistance doesn't cause you to be obese.

And for some people who hold a lot of fat, like on their torso, rather than like all throughout their body or towards their lower body, insulin resistance might be part of what's going on because insulin resistance doesn't cause you to be obese.

But if you are already holding a lot of fat in that midsection area, that can lead to insulin resistance, which can then lead to weight being harder to lose, or like, it's a vicious cycle. So metformin is extremely cheap. It's a very old medication, very well studied. And while it has side effects, we're talking like diarrhea,

But if you are already holding a lot of fat in that midsection area, that can lead to insulin resistance, which can then lead to weight being harder to lose, or like, it's a vicious cycle. So metformin is extremely cheap. It's a very old medication, very well studied. And while it has side effects, we're talking like diarrhea,

There are many other side effects to it, but the common one is diarrhea, and it's pretty manageable for most patients. So I would ask, have you talked to your doctor about trying that since you've done all these other things? Ask your doctor if this is appropriate for you, right? Because it's very cheap.

There are many other side effects to it, but the common one is diarrhea, and it's pretty manageable for most patients. So I would ask, have you talked to your doctor about trying that since you've done all these other things? Ask your doctor if this is appropriate for you, right? Because it's very cheap.