My practical start here method Step 1: Patch test (especially if skin is reactive)
As protein-based biologics, they are extremely sensitive to temperature deviations: Too Cold (below +2 C): Freezing causes proteins in GLP-1 drugs to denature, making the batch unusable and resulting in immediate financial loss
If you have diabetes and are considering or already taking a GLP-1 medication, we encourage you to schedule a dilated eye exam and let our team be part of your care plan.
Melekoglu E, Cetinkaya MA, Kepekci-Tekkeli SE, Kul O, Samur G
sitagliptin Sitagliptin Trade Name: Januvia Drug Class: oral hypoglycemics Mechanism of Action: An inhibitor of dipeptidyl peptidase-4 (DPP-4), a protease that degrades the incretin GLP-1 Incretins are hormones released from the GI tract in response to nutrient ingestion Incretins potentiate glucose-stimulated insulin secretion from beta cells in the pancreas As a result of inhibiting DPP-4, increased or prolonged GLP-1 levels are able to potentiate the secretion of insulin by the pancreas The effect produced by DPP-4 inhibitors is dependent on endogenous GLP-1 levels, and produce a modest effect on GLP-1 activity compared to giving GLP-1 receptor agonists (hence DPP-4 inhibitors do not have the same impact to produce weight loss as GLP-1 agonists)
Long-acting prescription versions magnify these effects for an entire week with a single, small injection