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If you are confused about your weight, if you have questions about weight medicine, and if you want fact-based answers to your weight questions, you are in the right place. I'm a doctor and a life coach, and I help people with their weight. Here is this week’s Office Hours. I love answering your (not personal) medical questions! Drop Qs below and I’ll add them to the next question list. Question Topics in Order: Dosing mistake? First Oral GLP-1—Rybelsus or Orforglipron? GLP-1 and Thyroid Nodules? Switching from Ozempic to Phentermine? CONSULT WEEK: If you would like to fix the *one BIG thing* interfering with your weight loss goals, I can help you with that. To schedule a consult call: https://calendly.com/weightmedicinemd Fix The ONE BIG THING: https://youtu.be/qCJ5xSswJeo?si=tJsIGTFRZm6Zbwtu Not Affiliate Links, Just a Fan: Candle: @kristinabraly www.aembr.co The information in this video is intended to serve as educational information and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor. There is no patient-doctor relationship created in this video.

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Today, we’re talking about a fascinating topic that has been generating buzz in both the peptide and medical and wellness communities: microdosing GLP-1 agonists for overall health. In this episode, we'll explore how this emerging practice could impact metabolic health, weight management, and even longevity. Let’s break down what we know and what it could mean for you. What Are GLP-1 Agonists? Before we get into the idea of microdosing, let’s first understand what GLP-1 agonists are. GLP-1 stands for glucagon-like peptide-1. It’s a peptide hormone that plays a major role in regulating blood sugar levels and appetite. GLP-1 is found in many different areas of the body including the intestine, pancreas, and central nervous system. It’s also found in the hypothalamus. GLP-1 agonists, like semaglutide (brand names Ozempic and Wegovy), are peptides that mimic this natural hormone. They're typically used for managing type 2 diabetes and, more recently, for weight loss. These peptides work by enhancing insulin secretion when glucose levels are elevated, slowing down gastric emptying, and reducing appetite. They also help lower blood pressure and stabilize blood sugar and cholesterol levels. Most recently they’ve been approved for improving cardiovascular health. What is Microdosing? Microdosing, in the context of GLP-1 agonists, refers to taking very small, sub-therapeutic doses of the peptide, typically much lower than those used in the treatment of diabetes or obesity. These smaller doses could potentially have a subtle impact on your metabolic heath, appetite, and overall well-being without causing the more intense side effects seen at higher doses. Why Microdose GLP-1 Agonists? I want to highlight several potential benefits of microdosing GLP-1 agonists for overall health, even for people who aren’t dealing with obesity or type 2 diabetes. Improved Blood Sugar Regulation: GLP-1 agonists are known to help regulate blood sugar levels by enhancing insulin sensitivity. Microdosing could help prevent insulin resistance, a condition that often leads to chronic diseases like type 2 diabetes. Even if you’re not diabetic, stabilizing blood sugar can help improve energy levels, reduce cravings, and support better metabolic health. Weight Management and Improved Satiety: One of the most well-known effects of GLP-1 agonists at higher doses is weight loss. Microdosing might help with weight management by subtly decreasing appetite and promoting more stable blood sugar levels, which could reduce those energy crashes and sugar cravings that often lead to overeating. For some people, microdosing could provide a gentle nudge toward more balanced eating habits and may help individuals manage emotional eating triggered by stress or fluctuating hunger signals. Potential Longevity Benefits: The positive effects on insulin sensitivity, blood sugar, and body composition aren’t just about feeling good in the moment. There is also a potential long-term benefit of microdosing GLP-1 agonists, especially when it comes to longevity. Since insulin resistance and poor metabolic health are linked to aging, chronic disease, and even shorter life expectancy, using these peptides in low doses could theoretically help slow down some of these age-related processes. Reduced Inflammation: Chronic low-grade inflammation is a key contributor to many health issues, from cardiovascular disease to autoimmune conditions. Some studies have suggested that GLP-1 agonists may have anti-inflammatory effects, which could contribute to overall better health. Microdosing may help reduce systemic inflammation without the significant side effects that come with higher doses. When it comes to microdosing GLP-1 agonists, it’s important to start slow and work with a healthcare professional to tailor the dosing to your unique needs and goals (a more individualized approach). But it’s important to keep in mind that while microdosing GLP-1 agonists is generally considered safe, there can be side effects, such as nausea or digestive discomfort, especially if the dose is not carefully monitored. That's why it's essential to start with a very low dose and gradually increase it under the guidance of a healthcare provider. What Does Microdosing GLP-1 Look Like in Practice? The specific dosing will depend on the individual, but in general, a "microdose" of semaglutide would be much lower than the typical prescribed dose for managing diabetes or obesity. For example, the typical starting dose for weight loss with semaglutide is 0.25 mg per week whereas a microdose might involve starting at a fraction of that amount. An example of a microdosing schedule might look like: Week 1-4: 0.025 mg to 0.05 mg once a week (roughly 1/10th to 1/5th of the initial standard dose). Week 5-8: 0.05 mg to 0.1 mg once a week. Beyond Week 8: Gradual increase (if...