Dr. Sarah Molasky

And again, we also are dealing with a shortage of Moonjaro and please do not call my pharmacy to ask if I have it in stock because no.

And again, we also are dealing with a shortage of Moonjaro and please do not call my pharmacy to ask if I have it in stock because no.

Yeah, so I mean, in terms of the why this now for weight loss specifically, because they work. Right? They work with caveats. They work in certain patients with certain types of obesity and levels of obesity.

Yeah, so I mean, in terms of the why this now for weight loss specifically, because they work. Right? They work with caveats. They work in certain patients with certain types of obesity and levels of obesity.

They also work really well for people with diabetes or prediabetes and for some people with insulin resistance, which is a kind of umbrella term for people whose bodies don't, the cells in their bodies aren't responding to the message the insulin is sending, which is, hey, here's sugar, store it, use it as fuel. And the muscle cells will go, okay, we'll take in more sugar and use it up.

They also work really well for people with diabetes or prediabetes and for some people with insulin resistance, which is a kind of umbrella term for people whose bodies don't, the cells in their bodies aren't responding to the message the insulin is sending, which is, hey, here's sugar, store it, use it as fuel. And the muscle cells will go, okay, we'll take in more sugar and use it up.

Well, if someone's insulin resistant, the body, the pancreas is sending out all this insulin being like, hey, there's a lot of sugar in the blood. Let's bring it in. And their body isn't doing it. So for some people who are insulin resistant, drugs like this can potentially be somewhat helpful. Although I do have one medication I'll talk about that is much more helpful with that later.

Well, if someone's insulin resistant, the body, the pancreas is sending out all this insulin being like, hey, there's a lot of sugar in the blood. Let's bring it in. And their body isn't doing it. So for some people who are insulin resistant, drugs like this can potentially be somewhat helpful. Although I do have one medication I'll talk about that is much more helpful with that later.

That is sometimes used for weight loss. But it works and it works relatively quickly. And when it comes to weight loss... It's very difficult for people to see results from weight loss when it comes to doing lifestyle remedies like changing your diet, exercising more. Those are things that are important, but they take a really long time for you to notice something.

That is sometimes used for weight loss. But it works and it works relatively quickly. And when it comes to weight loss... It's very difficult for people to see results from weight loss when it comes to doing lifestyle remedies like changing your diet, exercising more. Those are things that are important, but they take a really long time for you to notice something.

Whereas with these injectables, a lot of people are seeing results much more quickly, like say in a month or in two months, they're noticing, oh, I have way less of an appetite.

Whereas with these injectables, a lot of people are seeing results much more quickly, like say in a month or in two months, they're noticing, oh, I have way less of an appetite.

So for people who, I would argue that a prescriber who's doing their due diligence and really being picky about what patient they're giving this to, they're choosing patients whose BMI is very high because technically I have a BMI of 30 right now. So I qualify for Wigovi. I'm not going to do it, but I technically qualify.

So for people who, I would argue that a prescriber who's doing their due diligence and really being picky about what patient they're giving this to, they're choosing patients whose BMI is very high because technically I have a BMI of 30 right now. So I qualify for Wigovi. I'm not going to do it, but I technically qualify.

But doctors and nurse practitioners and PAs who are being more diligent will do it for people who are a certain size. whose health would likely support it, who don't have pancreatic issues or thyroid issues that potentially might be concerning with these kinds of medications.

But doctors and nurse practitioners and PAs who are being more diligent will do it for people who are a certain size. whose health would likely support it, who don't have pancreatic issues or thyroid issues that potentially might be concerning with these kinds of medications.

And also for patients who have diabetes or prediabetes, then the Ozempic side of things might be considered appropriate because, again, Ozempic is supposed to be for diabetics, right?

And also for patients who have diabetes or prediabetes, then the Ozempic side of things might be considered appropriate because, again, Ozempic is supposed to be for diabetics, right?

Unfortunately, what I'm actually seeing in practice is very different from that. I am seeing patients who do not have diabetes or prediabetes being prescribed, you know, Monjaro and Ozempic and When I get these prescriptions, I have to call the doctor and say, you know, this isn't really, that's not what this is prescribed for.

Unfortunately, what I'm actually seeing in practice is very different from that. I am seeing patients who do not have diabetes or prediabetes being prescribed, you know, Monjaro and Ozempic and When I get these prescriptions, I have to call the doctor and say, you know, this isn't really, that's not what this is prescribed for.