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Breakthrough Hope: How Leucovorin Transformed Speech in Non-Verbal Autism (Backed by 3 Clinical Studies)

If you’re a parent, caregiver, or practitioner searching for real answers in the world of non-verbal autism, you’re not alone. And today, we’re diving into something that’s not just promising—it’s transformational. Meet leucovorin, a folate-based compound that’s making waves in the autism community for its potential to unlock speech in children who’ve never spoken a word.

Let’s break it down, Medrocs–style: science meets soul, and hope meets hard data.

What Is Leucovorin?

Leucovorin (also known as folinic acid) is the active form of folate (a B vitamin) traditionally used to reduce the side effects of chemotherapy. But in recent years, researchers have discovered that it may do something extraordinary for children with autism—especially those who are non-verbal.

Folate is essential for healthy cell growth, DNA and RNA synthesis, and red blood cell formation—making it a critical nutrient for brain development and function.

Why? Because many children on the autism spectrum have a condition called cerebral folate deficiency (CFD), where folate can’t properly enter the brain. Leucovorin bypasses this blockage and restores folate levels in the brain, potentially improving communication and cognitive function.

The Science Behind the Speech

Let’s talk clinical studies—because while hope is powerful, evidence
is empowering.

A 2024 randomized controlled trial published in Molecular
Psychiatry
found that leucovorin significantly improved verbal
communication
in children with autism, especially those who tested positive
for folate receptor alpha autoantibodies (FRAA+)—a common biomarker in
non-verbal autism cases. You can read the full study on PubMed.

Another study, funded by Autism Speaks, echoed these findings. Children treated with leucovorin showed medium-to-large improvements in verbal communication, with the most dramatic gains seen in those with FRAA+ status. You can explore that research here.

And a third clinical trial listed on ICH GCP is currently evaluating leucovorin’s impact on social communication and behavioral symptoms in young children with moderate ASD.

Real Families, Real Results

Beyond the lab, families are seeing life-changing results. In a CBS News feature, parents shared how their non-verbal son began speaking after starting leucovorin. While it’s not a miracle cure, it’s a powerful tool in the right hands—and for the right biology.

Is It Safe?

According to the studies, leucovorin is generally well-tolerated with minimal side effects. Of course, it should only be used under the guidance of a qualified healthcare provider, ideally one familiar with biomedical approaches to autism.

How to Get Started

If you’re considering leucovorin for your child, start by talking to your doctor about testing for FRAA antibodies, which helps determine whether your child is likely to benefit. Then, consult with a pediatric neurologist or integrative physician who understands the folate pathway and autism.

You can also learn more from this helpful overview by Philadelphia Integrative Psychiatry, which breaks down the science and clinical use of leucovorin in autism care.

Final Thoughts

Leucovorin isn’t just another supplement—it’s a scientifically backed intervention that’s giving non-verbal children with autism a chance to express themselves, sometimes for the very first time. And that, my friend, is the kind of breakthrough we live for.

So if you’re navigating the maze of autism therapies, don’t overlook this powerful option. Because when science and love team up, miracles happen.

Game-Changer or Gimmick? 5 Powerful Insights Comparing Wegovy vs Zepbound for Weight Loss

If you’ve been Googling “Wegovy vs Zepbound” like your next health breakthrough depends on it—you’re not alone. These two FDA-approved weight loss medications are making serious waves. But which one actually works better? Let’s break it down with real clinical data, a dash of sass, and a whole lot of clarity.

1. The Science Behind the Shots

Both Wegovy (semaglutide) and Zepbound (tirzepatide) are injectable medications designed to help people with obesity or weight-related conditions shed pounds. But here’s the kicker: they work differently.

  • Wegovy targets one hormone: GLP-1.
  • Zepbound? It’s a double whammy—GLP-1 and GIP.

So what’s GLP-1, anyway?

GLP-1 stands for glucagon-like peptide-1, a hormone released by your gut in response to eating. It’s part of a group called incretins, which help regulate blood sugar. GLP-1 does a few amazing things:

  • It stimulates insulin secretion when your blood sugar rises.
  • It slows down gastric emptying, so you feel fuller longer.
  • It reduces appetite by acting on the brain’s satiety centers.
  • And it lowers glucagon levels, which helps prevent blood sugar spikes.

In short, GLP-1 helps your body manage food intake and blood sugar like a boss. That’s why GLP-1 receptor agonists like Wegovy have become game-changers in the treatment of obesity and type 2 diabetes.

Now let’s talk about GIP.

GIP stands for glucose-dependent insulinotropic polypeptide. Like GLP-1, it’s an incretin hormone released after eating. Its main job? Stimulating insulin secretion—especially after meals. But GIP may also:

  • Enhance fat metabolism and influence how fat is stored
  • Support bone formation
  • Regulate appetite and satiety, though this is still being studied

While GIP is less well-known than GLP-1, combining the two—as Zepbound does—may create a synergistic effect that boosts weight loss and metabolic benefits.That dual-action mechanism may be why Zepbound is pulling ahead in the latest head-to-head clinical trials.

2. The Clinical Showdown: SURMOUNT-5

In a randomized trial of 751 participants without diabetes, researchers compared the two drugs over 72 weeks. The results?

  • Zepbound users lost an average of 20.2% of body weight (about 50.3 lbs).
  • Wegovy users lost 13.7% (around 33.1 lbs).

That’s a 47% greater relative weight loss with Zepbound. And yes, that’s a big deal.

You can dive into the full study breakdown on Advisory.com.

3. Waistlines and Wellness

Beyond the scale, Zepbound also helped participants lose more inches around the waist—7.2 inches vs. Wegovy’s 5.1 inches. Plus, Zepbound showed greater improvements in systolic blood pressure and other cardiometabolic markers.

Translation? It’s not just about looking good—it’s about feeling better and living longer.

4. Side Effects: The Real Talk

Both medications come with similar side effects: nausea, constipation, diarrhea, and vomiting. But fewer people on Zepbound dropped out due to side effects (6.1%) compared to Wegovy (8%).

So while neither is a walk in the park, Zepbound might be a bit easier to stick with.

5. The Bottom Line: Is Zepbound the Winner?

Based on current clinical evidence, Zepbound appears to outperform Wegovy in weight loss and metabolic improvements. But, here’s a key footnote: the study was funded by Eli Lilly, the maker of Zepbound. While the results are undeniably impressive, it’s wise to keep in mind that more independent research could offer broader insights. Transparency matters—and in science, more data never hurts.

Final Thoughts

In the battle of Wegovy vs Zepbound, the data leans in favor of Zepbound. But remember: the best medication is the one that works for you. Consult your healthcare provider before making a switch. Your body, your journey, your rules.

And if you’re ready to take the next step toward your healthiest self? You’ve got this. 

The Hidden Dangers of Buying Supplements on Amazon (And How to Stay Safe!)

Is Your Health at Risk? The Dark Side of Amazon Supplements

You love convenience, I love convenience. And nothing screams convenience louder than ordering supplements with just one click from Amazon. But here’s the truth bomb: your well-being is way too precious to gamble on shady third-party sellers.

While Amazon is a goldmine for deals, it’s also riddled with counterfeit, expired, or diluted supplements that could mess with your health instead of improving it. Let’s break down the risks—and the smart way to shop.

The Risks You Can’t Ignore

Let’s get real. Buying supplements from unknown vendors on Amazon comes with serious dangers:

  1. Counterfeit Products: Just because a label looks legit doesn’t mean what’s inside is. Many third-party sellers offer knockoff versions that don’t contain the ingredients advertised.
  2. Expired Supplements: Some sellers stockpile old products, meaning you might be taking expired supplements that have lost their potency—or worse, could be harmful.
  3. Wrong Storage Conditions: Supplements need proper storage to maintain efficacy. Random warehouse conditions might expose them to heat, light, or moisture that destroys their effectiveness.
  4. Fake Reviews: Those glowing five-star ratings? Some could be totally bogus—purchased to trick buyers into trusting sketchy sellers.

So, if you’re investing in your health, don’t let unknown sellers take shortcuts with your well-being.

How to Shop Smart (And Stay Safe!)

Now that we know the risks, here’s how to take control and make sure you’re getting the real deal.

Buy Direct from Brands or Authorized Retailers – Not all sellers are shady, but why take the risk? Medrocs, for example, buys Thorne supplements directly from Thorne, so you know you’re getting exactly what you paid for—pure, effective, top-tier products.

Check the Seller’s Credentials – If you must buy from Amazon, make sure the seller is an authorized distributor with verified reviews and a strong reputation.

Scrutinize Reviews – Don’t fall for the first five-star rating you see. Read real customer experiences, compare images, and check for detailed feedback.

Look for Transparency – Trustworthy sellers provide batch numbers, sourcing details, and third-party testing reports. No info? Big red flag!

Invest in Your Health with Confidence

Your health deserves nothing but the best. Instead of gambling on Amazon’s third-party marketplace, opt for trusted retailers or buy directly from brands like Thorne via authorized sources like Medrocs Pharmacy.

💡 Looking for high-quality, authentic Thorne supplements? Check out Medrocs to shop confidently!

By making informed choices, you protect your health, your wallet, and your peace of mind. Stay savvy, stay safe, and shop smart.

The Brutal Truth About Seasonal Allergies: 5 Ways McKinney Locals Can Breathe Easy!

McKinney Seasonal Allergies—Why Are They So Brutal?

Spring hits McKinney, and suddenly—BAM! You’re sneezing like it’s your full-time job. Your eyes are itchy, your throat is scratchy, and you start wondering if moving to Antarctica is the only real solution. Sound familiar?

You’re not alone. McKinney seasonal allergies are no joke, and thanks to our high pollen count, fluctuating humidity, and unpredictable weather, allergy sufferers can feel like they’re trapped in a never-ending battle.

But don’t worry, because I’m about to drop some allergy-fighting gold—and trust me, you’re gonna want to take notes.

1. Stop Pollen From Invading Your Home

Here’s the deal—pollen is sneaky. It clings to your clothes, sticks to your hair, and follows you inside like an uninvited guest. The easiest way to cut down indoor allergens?

Shoes off at the door. No tracking pollen through your house!
Shower before bed. Don’t let pollen hitch a ride on your pillow.
Use a HEPA air purifier. This sucks allergens right out of the air.

2. Allergy-Fighting Foods That Work Like Magic

Food is medicine, and yes, certain foods actually help fight seasonal allergies. Want to give your immune system a natural boost? Stock up on:

🥑 Avocados & Nuts – Packed with healthy fats that reduce inflammation.
🍊 Citrus Fruits – Vitamin C helps stop allergy symptoms before they start.
🐟 Fatty Fish – Omega-3s are your best friends for allergy relief.

Eating right won’t cure allergies—but it can help reduce symptoms so you can enjoy spring without feeling like a walking Kleenex box.

3. The Best Local Honey Trick (Does It Actually Work?)

You’ve probably heard the local honey trick—eat honey produced in your area, and it helps your body build resistance to allergens.

Good news: it’s not just a myth! Studies suggest consuming raw, local honey may help your body adapt to pollen over time. McKinney has some amazing local honey producers, so check farmers’ markets or local grocers. (Here’s a resource to get started: Texas Beekeepers Association).

Just remember—this isn’t an instant fix! Regular consumption over months might help reduce symptoms.

4. Fast-Acting Allergy Relief That Actually Works

Listen, I love a good home remedy, but when seasonal allergies hit like a truck, you need proven solutions that actually work—and fast.

The best way to tackle McKinney seasonal allergies head-on? A three-step approach that gets results in under an hour:

Start with a saline nasal rinse – Think of this as your allergy reset button. Rinsing out pollen before it settles in your sinuses helps stop symptoms before they start.

Take an antihistamine like Zyrtec or Allegra – These kick in within an hour and work all day long, blocking the histamine response that causes sneezing, itching, and congestion.

Use a steroid nasal spray for out-of-control symptoms – If allergies are still wrecking your day, a steroid spray reduces inflammation and keeps symptoms in check—helping you breathe freely again.

And if itchy, watery eyes are the worst part? Eye drops like Alloway or Pataday give fast relief so you can actually see spring, instead of just suffering through it.

Best part? Medrocs carries ALL of these, so you can grab exactly what you need—no guessing, no wasted money, just real relief from the experts who care about your health.

5. Visit Medrocs Pharmacy for Personalized Help

Sometimes, you need a customized allergy plan. That’s where your local McKinney pharmacy comes in! Independent pharmacists can help you find relief that fits YOUR specific symptoms—whether it’s OTC meds, natural supplements, or allergy-friendly vitamins.

Unlike big chains, local pharmacists actually listen and offer real solutions (without rushing you out the door). So next time allergies hit—skip the guessing game and get expert advice.

Your Allergy-Free Spring Starts NOW!

McKinney seasonal allergies may be brutal, but with these allergy-fighting hacks, you can finally breathe easy.

Got a favorite allergy trick that works? Drop it in the comments! And if you need personalized help, stop by Medrocs Pharmacy today!

Why McKinney Locals Are Ditching Big-Chain Pharmacies (and YOU Should Too!)

Why McKinney Locals Are Ditching Big-Chain Pharmacies (and YOU Should Too!)

Let’s get real. You walk into one of those big-chain pharmacies, and what happens? Long lines. A phone tree that makes you question all your life choices. Zero personal care. Sound familiar?

Now imagine stepping into a local pharmacy—where the pharmacist knows your name, helps you find exactly what you need, and answers the phone like they actually want to talk to you. Wild, right? But that’s exactly why McKinney residents are switching to independent pharmacies like Medrocs—and why you should too.

 

Personalized Service You Didn't Know You Were Missing

At a corporate pharmacy, you’re just another RX number. At an independent pharmacy, you’re a real person with real health needs, and you deserve expert guidance tailored just for you. Whether it’s managing chronic conditions or answering questions about medication side effects, a local pharmacist is your healthcare bestie.

Fast, Frustration-Free Communication (No More Hold Music)

Raise your hand if you’ve ever been stuck in an endless phone menu, screaming “JUST LET ME TALK TO A HUMAN!” 🙋‍♂️ Independent pharmacies skip the nonsense. Call Medrocs? A real person answers. Need a refillEasy. Done. No voicemail purgatory. Some even let you text the pharmacy team—because modern convenience shouldn’t feel like 1999 dial-up.

Big chains may have apps and automated systems, but nothing beats the ease of getting an answer from an actual pharmacist in seconds.

 

Local Business, Local Impact

Big chains send profits to corporate headquarters, but local pharmacies reinvest in McKinney—creating jobs, supporting businesses, and strengthening the local economy. Every dollar you spend at a McKinney-owned pharmacy stays in the community. That means better services, local job creation, and supporting businesses that actually care about YOU—not just hitting corporate profit quotas.

When you choose an independent pharmacy like Medrocs, you’re making a difference. You’re investing in a business that values its customers, gives back to the community, and puts people over profits

 

Convenience That Works for Your Life

Busy schedule? Your local McKinney pharmacy understands that making an extra stop isn’t always easy. That’s why independent pharmacies go the extra mile with delivery services, allowing you to get medications without stepping out the door.

Other ways local pharmacies prioritize convenience?
Personalized prescription management—alerts, automatic refills, and reminders.
Compounded medications—custom formulations to fit your unique health needs.
Wellness consultations—expert advice beyond prescriptions, helping you live healthier.

Healthcare should work for YOU, not make your life harder.


Extra Perks You Can't Ge at Big Chains

Think chain pharmacies offer everything? Think again. McKinney pharmacy owners go above and beyond to offer services you won’t find at big-box stores: We’re talking:

✅ Fast and hassle-free prescription refills (no waiting in long lines).
✅ Delivery right to your door (because you have things to do).
✅ Custom compounding (because not all meds come in one-size-fits-all).
✅ Personalized wellness advice (because Google searches only get you so far).

 

Make the Switch-Your Health Deserves It!

If you’re tired of frustration, stop settling for corporate pharmacies that treat you like just another transaction. Choose an independent pharmacy where service is personal, expert-driven, and truly convenient.

Looking for the best McKinney pharmacy? Visit Medrocs today and experience the difference firsthand!

Zepbound Shortage

Zepbound Shortage

What is Zepbound and why patients love it?

Zepbound is a relatively new injectable medication gaining popularity for weight loss. Here’s why people are excited about it:

  • Impressive Results: Clinical trials showed promising weight loss, with some patients losing up to 52 pounds, rivaling weight loss surgery results.
  • Dual Action: Unlike some weight-loss drugs, Zepbound targets two hormones. This dual approach may lead to more significant appetite suppression and improved blood sugar control.
  • Reduced Calorie Intake: By mimicking satiety hormones, Zepbound can help people feel fuller for longer, potentially leading to a natural reduction in calorie intake.
  • Potential Health Benefits: Studies suggest weight loss with Zepbound may improve blood sugar control and reduce the risk of weight-related health problems like heart disease and type 2 diabetes.

Which Zepbound Strength are not easily available?

  • Zepbound 2.5mg Injection ✔
  • Zepbound 5mg Injection
  • Zepbound 7.5mg Injection
  • Zepbound 10mg Injection
  • Zepbound 12.5mg Injection
  • Zepbound 15mg Injection

Zepbound Shortage Reasons 

The main and foremost reason for weight-loss drug Zepbound shortage is that its facing a surge in demand. Eli Lilly, the manufacturer, underestimated the drug’s popularity and can’t keep up with prescriptions for both diabetes and weight management. While they’re working on expanding production, it won’t be enough to meet current needs until sometime next year of 2025 or more. Some common challenges for the manufacturer may include:

  1. Unprecedented Demand: There has been a significant surge in demand for weight loss drugs, driven by their proven effectiveness and broadening indications for use. This demand has outstripped current manufacturing capacities.

  2. Manufacturing Challenges: Producing weight loss medications like Zepbound which is an injectable drug, involves complex manufacturing processes. Challenges in scaling up these processes to meet demand can lead to shortages.

  3. Supply Chain Issues: Zepbound is supplied in different countries, may be under different trade names and this global supply chain demand can cause raw material shortages, logistics issues, or regulatory challenges. Al these factors will definitely contribute to the problem to United States patients. These issues can delay production and distribution, exacerbating shortages.

  4. Regulatory Delays: Approvals are always needed for expanding manufacturing facilities or changing manufacturing processes can be time-consuming. These regulations may delay responses to increased demand.

  5. Market Dynamics: The entry of new patients in weight loss market and diabetes can suddenly increase the demand, which may not be immediately meetable by existing supply capabilities.

  6. Quality Control and Safety Issues: Zepbound is a drug that needs refrigeration. Therefore ensuring the safety and efficacy of increased production batches, safely and timely redistributing the drug to various drug vendors and then to pharmacies  can also lead to delays if problems are identified during quality checks.

This leaves patients struggling to find their medication and potentially facing weight regain. Please read this news article from CNBC regarding Zepbound shortage

Possible Impact of Zepbound Shortage 

Zepbound shortage has significant impact, affecting various stakeholders from patients to healthcare systems in multiple ways:

  1. Patient Health and Treatment: Patients who rely on Zepbound for weight management and related health issues like type 2 diabetesmay experience setbacks in their treatment plans. The shortage could lead to interrupted treatment, which can cause regression in health gains, increased weight, or a rebound in related health issues.

  2. Increased Healthcare Burden: Interruptions in effective weight management treatments can lead to increased healthcare visits, more intensive medical interventions, and potentially higher healthcare costs in the long term. This is especially true for chronic conditions that are managed through steady medication, where disruptions can lead to complications.

  3. Patient Stress and Anxiety: The uncertainty about time and difficulty in obtaining necessary medication can cause significant stress and anxiety for patients. This emotional strain can be compounded by the potential health repercussions of not being able to maintain their treatment regimen.

  4. Pressure on Healthcare Providers: Healthcare providers are also impacted as they need to manage patient care under these constrained conditions. This might involve spending more time to help patients navigate the shortage by finding alternative pharmacies, adjusting prescriptions based on availability, changing dosages to available ones, or switching to other treatment options that are not as positively impactful on health. All these alternative options adds to their workload and can strain resources.

  5. Economic Impact on Pharmaceutical Companies: While shortages can initially seem to be a demand opportunity for pharmaceutical companies, they can also lead to reputational damage and loss of trust among consumers. Companies like Eli Lilly with Zepbound shortage might face pressure to quickly resolve supply issues to maintain their market position and consumer trust.

The shortage of Zepbound underscores the need for robust supply chain management, strategic foresight in production capacities, and effective communication between pharmaceutical companies, healthcare providers, and patients to mitigate the adverse effects on public health and economic performance.

Zepbound alternatives

Zepbound is a relatively new once-weekly injection medication that has shown promising results for weight loss. However, due to its popularity, there is currently a shortage of Zepbound. If you’re unable to find Zepbound, here are some alternative medications your doctor might be interested in recommending you:

  • Wegovy (semaglutide)

This is another GLP-1 receptor agonist similar to Zepbound, but it targets only one hormone. Wegovy is also FDA-approved for chronic weight management and has been shown to be effective for weight loss. However, Wegovy is also facing supply shortages especially their 0.25mg and 0.5mg which are considered beginners dosages.

  • Saxenda (liraglutide)

Saxenda is also one of the GLP-1 receptor agonist injection that has been FDA-approved for weight loss. It works by increasing satiety and reducing appetite, leading to decreased calorie intake.

  • Mounjaro (dulaglutide)

Mounjaro is a GLP-1 receptor agonist that is FDA-approved for type 2 diabetes, but it can also cause weight loss as a side effect. It’s also injected once weekly. This is a perfect alternative to Zepbound. However being one of the alternatives, Mounjaro is causing severe shortages and it is also produced by Eli Lilly.

  • Ozempic (semaglutide)

Ozempic is the same medication as Wegovy, but it’s FDA-approved for type 2 diabetes, not weight loss. However, like Mounjaro, it can cause weight loss as a side effect.

  • Contrave (naltrexone/bupropion)

Contrave is an oral combination pill that works by regulating appetite and reducing cravings. It is not an injection medication and is taken orally once or twice daily.

  • Qsymia (phentermine/topiramate)

Qsymia is another combination pill that works by increasing feelings of fullness and reducing cravings. It is also taken orally, once daily.

  • Orlistat (Xenical or Alli)

Orlistat works by blocking the absorption of some dietary fat. It is available over-the-counter (Alli) or by prescription (Xenical) and is taken with meals.

Frequently asked Questions and Answers

Is There a Zepbound Shortage?

Yes, there is currently a Zepbound shortage in the United States. The Food and Drug Administration (FDA) maintains a drug shortage database, which confirms limited availability for most Zepbound dosages. 

This shortage is due to high demand for the weight-loss drug, exceeding Eli Lilly’s production capacity. 

How long Zepbound shortage will last?

The current shortage of Zepbound is expected to last through at least 2024 and beyond, particularly affecting certain doses. Eli Lilly, the manufacturer of Zepbound, has indicated that the shortages are due to unprecedented demand and challenges in scaling up production to meet this demand. 

They are actively working to increase manufacturing capacity, which should gradually help alleviate the shortages throughout 2024 and beyond. Source

Can you drink on zepbound?

When taking Zepbound (tirzepatide), it’s generally recommended to be cautious with alcohol consumption. While there is no specific contraindication for drinking alcohol while on Zepbound, several considerations should be kept in mind:

  1. Blood Sugar Fluctuations: Alcohol can affect blood sugar levels, potentially leading to hypoglycemia (low blood sugar) when combined with Zepbound, which is designed to help manage weight partly by influencing insulin levels.

  2. Dehydration Risks: Zepbound may slow gastric emptying, which can intensify the dehydrating effects of alcohol. It’s crucial to stay hydrated if you choose to drink.

  3. Caloric Intake: Alcohol contains calories that might counteract your weight loss efforts on Zepbound. Additionally, alcohol can lower inhibitions, possibly leading to less disciplined eating habits.

  4. Potential for Increased Side Effects: Although direct interactions between Zepbound and alcohol have not been extensively studied, alcohol might exacerbate side effects such as gastrointestinal discomfort or dizziness.

Moderation is Key: If you decide to drink alcohol while taking Zepbound, it’s best to do so in moderation. Guidelines suggest limiting intake to one drink per day for women and two for men, and never on an empty stomach to avoid an increased risk of hypoglycemia.

Please discuss your alcohol consumption with your healthcare provider, particularly when taking medications like Zepbound, to ensure that your treatment plan is safe and effective.

Zepbound Side effects

Zepbound Side Effects

Great! Let’s talk about Zepbound and its side effects profile in detail here. Zepbound, known generically as tirzepatide, is a medication primarily used for managing type 2 diabetes. It works by mimicking the effects of natural hormones to help control blood sugar levels.

What is Zepbound

Zepbound, known generically as tirzepatide, is a medication primarily approved by FDA on November 8, 2023 for weight management or weight loss. Zepbound in simple terms works by mimicking the effects of natural hormones to help loose weight and also control blood sugar levels.

Zepbound Common Side Effects

These symptoms are usually mild to moderate and tend to improve over time as your body adjusts to the medication.

Gastrointestinal Issues

Nausea & Vomiting

Zepbound (tirzepatide) causing nausea and vomiting is one of the most common side effects. This can be attributed to its mechanism of action, particularly how it interacts with the digestive system and appetite regulation.

When Zepbound stimulates GLP-1 receptors, it can slow gastric emptying, which means food stays in the stomach longer than usual. This slower movement of food can lead to feelings of fullness or discomfort, resulting in nausea.

Nausea is often more pronounced when starting the medication or increasing the dose. As the body adjusts to Zepbound, the severity of nausea typically decreases over time. Some people may have a heightened sensitivity to medications that affect the gastrointestinal system, making them more prone to experiencing nausea.

It’s worth noting that while nausea is a common side effect, it’s usually temporary and manageable.

Diarrhea or Constipation

Another most common side effects of Zepbound are diarrhea or constipation.  These can be attributed to its effects on the gastrointestinal system. These side effects are are related to how the medication influences digestion and the function of the gut.

While slowing down gastric emptying – the rate at which food moves from the stomach to the intestines, can lead to constipation. However, for some individuals, this alteration in digestive process might swing the other way, causing diarrhea.

Changes in Intestinal Motility: The drug’s impact on the gut’s motility (the movement of the intestines that helps process and move food) can vary, leading to either increased or decreased activity. This variation can result in different bowel patterns for different individuals, including both diarrhea and constipation.

Effect on Gut Flora: All medications that affect the gastrointestinal tract can potentially alter the gut flora (the balance of microorganisms in the intestines). Changes in gut flora can lead to symptoms like diarrhea or constipation, although this is a less understood aspect of the medication’s effects.

Individual Differences in Response: People’s bodies can react differently to the same medication, due to factors like individual gut sensitivity, dietary habits, and overall health. This variation can lead to different GI side effects, including diarrhea or constipation.

Dosage and Adjustment Period: When starting Zepbound or changing dosages, the body can take time to adjust, leading to temporary GI symptoms. Often, these symptoms can resolve or become less severe as the body adapts to the medication.

Injection Site Reactions:

Since Zepbound is administered as an injection, some people may experience reactions at the site of injection, such as redness, itching, or swelling.

Injection site reactions typically include redness, swelling, pain, or itching at the site where the medication is injected. These reactions are usually due to the body’s immune response to the injection, mechanical irritation from the needle, or a reaction to the medication’s formula.

They are generally localized and temporary, often resolving within a few days. Rotating injection sites, using proper injection techniques, and possibly applying a cold pack can help reduce these reactions.

Allow Zepbound injection to cool down and let it come to room temperature before injecting. Take out the shot and let it sit at room temperature (RT) for at least 15-30 minutes and then inject accordingly. Coming to room temperature before administering can help in reducing injection site reactions. This practice is often recommended for most injectable medications. 

  • Decreased Appetite and Weight Loss: While this can be a benefit for some patients, it’s important to manage it carefully to ensure nutritional needs are met.
  • Fatigue: Some people might feel unusually tired or fatigued when taking Mounjaro.
  • Dizziness and Headaches: These symptoms can sometimes occur, particularly if blood sugar levels fluctuate.

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Nexlizet Coupon

Nexlizet Coupon, Cost, Side Effects, Hyperlipidemia, Reviews

Nexlizet Generic Name:

Bempedoic acid/Ezetimibe

Nexlizet FDA Approval Date:

February 26, 2020

Nexlizet Dosage Form: 

Tablets

Nexlizet Manufacturer / Company:

Esperion Therapeutics

Nexlizet uses:

Treatment for: High Cholesterol, Familial Heterozygous

What is Nexlizet

Nexlizet is FDA approved recently launched medication used to treat high cholesterol levels. It’s especially aimed at adults with conditions like heterozygous familial hypercholesterolemia (HeFH) or heart disease.

Nexlizet is a combination drug made with two active ingredients: bempedoic acid and ezetimibe.

This medication is particularly beneficial for individuals who have not achieved desired cholesterol levels with diet and other cholesterol-lowering treatments.

How Nexlizet Works

Nexlizet stands out because it uses a dual-action approach to lower cholesterol. It combines two active ingredients: bempedoic acid and ezetimibe. Each of these ingredients works in a different way to reduce cholesterol levels, making Nexlizet a powerful tool in cholesterol management.

1. Bempedoic Acid: Slowing Down Cholesterol Production

The first component of Nexlizet, bempedoic acid, targets the liver, which plays a key role in cholesterol production. It works by inhibiting an enzyme called ATP Citrate Lyase. This enzyme is essential for cholesterol synthesis in the liver. By blocking this enzyme, bempedoic acid effectively slows down the liver’s ability to produce cholesterol. This reduction in cholesterol production is a crucial step in lowering overall cholesterol levels in the body.

2. Ezetimibe: Reducing Cholesterol Absorption

The second component, ezetimibe, works differently. It focuses on the intestines, where it blocks a specific transporter called Niemann-Pick C1-Like 1 (NPC1L1). This transporter is responsible for absorbing cholesterol from the diet. By inhibiting NPC1L1, ezetimibe reduces the amount of cholesterol absorbed from the food you eat. This means less dietary cholesterol enters your bloodstream, further helping to lower your total cholesterol levels.

The Combined Effect of Nexlizet

When bempedoic acid and ezetimibe are used together, as in Nexlizet, they offer a comprehensive approach to lowering cholesterol. Bempedoic acid reduces the liver’s cholesterol production, and ezetimibe decreases the amount of cholesterol absorbed from your diet. This dual-action effectively lowers LDL cholesterol (often referred to as ‘bad’ cholesterol) and helps manage cholesterol levels more effectively than either ingredient alone.

Nexlizet Side Effects

Nexlizet isn’t immune to side effects and definitely come with some common and some serious side effects. Although not everyone faces these side effects and results vary from person to person. The most common side effects include:

Common Side Effects

  1. Symptoms of the Common Cold or Flu: Such as a runny nose, sore throat, or fever.
  2. Back Pain: Discomfort or pain in the back area.
  3. Bronchitis: Inflammation of the bronchial tubes, leading to coughing and difficulty breathing.
  4. Anemia: A condition where you have fewer red blood cells than normal, which can cause tiredness and weakness.
  5. High Uric Acid Levels: This can lead to gout, a type of arthritis that causes joint pain, especially in the toes.
  6. Diarrhea: Frequent loose or watery bowel movements.
  7. Muscle Spasms: Sudden, involuntary muscle contractions.
  8. Stomach Pain: Discomfort or pain in the abdominal area.
  9. Pain in the Shoulder, Legs, or Arms: Aching or discomfort in these areas.
  10. Increased Liver Enzymes: This can indicate liver problems and may require monitoring by your doctor.
  11. Fatigue: Feeling unusually tired or lacking energy.

Serious Side Effects

While less common, some serious side effects can occur, including:

  1. Gout: Particularly in people who have had it before. Symptoms include severe foot pain, particularly in the toe joint, swelling, and redness.
  2. Tendon Rupture or Injury: Tendon problems can happen, especially in people over 60, those taking certain antibiotics (fluoroquinolones), steroids, or those with kidney problems.

Who should not Use Nexlizet or use Precautions

Nexlizet may not be suitable for everyone. Here are some key groups of people who should either not use Nexlizet or use it with caution:

  1. People with a Known Allergy: Anyone who has a known allergy to bempedoic acid, ezetimibe, or any other component of Nexlizet should avoid using this medication.

  2. Pregnant Women: The safety of Nexlizet during pregnancy has not been established. Women who are pregnant or planning to become pregnant should discuss the risks and benefits of Nexlizet with their healthcare provider.

  3. Breastfeeding Mothers: It is not clear whether Nexlizet passes into breast milk. Nursing mothers should consult their healthcare provider to weigh the potential risks and benefits before taking this medication.

  4. Individuals with Liver Problems: Since Nexlizet can affect liver enzymes, those with pre-existing liver conditions should use this medication cautiously. Regular monitoring of liver function might be necessary.

  5. People with Severe Kidney Disease: Patients with severe renal impairment may need to be cautious, as the medication could potentially worsen their condition.

  6. Older Adults, Especially Over 60: Older adults, particularly those over 60, may have an increased risk of tendon rupture or injury when using Nexlizet. This risk may be higher in those taking certain types of antibiotics or steroids.

  7. Patients with a History of Gout: Since Nexlizet can increase uric acid levels, individuals with a history of gout should be cautious, as the medication could trigger gout attacks.

  8. Individuals Taking Certain Other Medications: Nexlizet can interact with other medications, which might increase the risk of side effects or reduce the effectiveness of either Nexlizet or the other drugs. Patients should inform their healthcare provider about all medications they are taking.

  9. People with Tendon Problems: Patients with a history of tendon issues should use Nexlizet with caution due to the risk of tendon rupture.

Nexlizet vs Muscle Spasm

Muscle spasms are involuntary contractions of a muscle. They can be caused by a variety of factors including muscle fatigue, dehydration, electrolyte imbalances, and certain medical conditions.

The relationship between Nexlizet and muscle spasms would typically be in the context of potential side effects, although this isn’t extremely common. Like many medications, Nexlizet can have side effects, and muscle-related symptoms (like muscle spasm, pain, or weakness) could potentially be among them.

Why Nexlizet causes Muscle Spasms

Let’s dive deeper into the conditions caused by the drug and figure out exactly why nexlizet causes muscle spasm:

  1. Direct Muscle Effects: Bempedoic acid, one of the components of Nexlizet, inhibits an enzyme called ATP citrate lyase, which is involved in cholesterol synthesis. This inhibition can potentially interfere with muscle function or metabolism, leading to muscle spasms.

  2. Electrolyte Imbalance: Any medication affecting metabolism can potentially disrupt electrolyte balance. Electrolytes are crucial for muscle function, and imbalances can lead to muscle spasms.

  3. Statins and Muscle Symptoms: Although Nexlizet does not contain statins, it is often used in combination with statin therapy for cholesterol management. Statins are known to cause muscle-related side effects in some people, and when used in combination with Nexlizet, these effects might be more pronounced.

  4. Individual Susceptibility: Some individuals may have a genetic or metabolic predisposition to experiencing muscle-related side effects from certain medications, including Nexlizet.

Why Nexlizet causes elevations in Serum Uric Acid levels?

Nexlizet, which contains bempedoic acid and ezetimibe, is known to potentially cause elevations in serum uric acid levels in some patients. This increase in uric acid can be attributed to the specific mechanisms of action of bempedoic acid, one of the components of Nexlizet:

  1. Inhibition of ATP Citrate Lyase: Bempedoic acid works by inhibiting an enzyme called ATP citrate lyase, which plays a role in cholesterol synthesis. This enzyme is also involved in energy metabolism pathways in the body. When ATP citrate lyase is inhibited, it can lead to alterations in various metabolic processes, including those that influence uric acid levels.

  2. Purine Metabolism: Uric acid is a byproduct of purine metabolism. Changes in metabolic pathways due to the action of bempedoic acid might influence the rate or extent of purine metabolism, leading to increased production or decreased excretion of uric acid.

  3. Kidney Function: Bempedoic acid may impact kidney function or the kidneys’ ability to excrete uric acid. A reduction in the rate of uric acid excretion can lead to higher levels in the blood.

  4. Interaction with Other Metabolic Pathways: Bempedoic acid’s role in cholesterol and lipid metabolism might indirectly affect other pathways, including those involved in uric acid production and excretion.

Elevations in serum uric acid can be a concern because high levels might lead to gout, a form of inflammatory arthritis. If someone taking Nexlizet experiences an increase in uric acid levels, a healthcare provider might monitor the condition, adjust the medication dosage, or recommend additional treatments to manage uric acid levels.

 

Nexlizet Cost

The cost of Nexlizet varies depending on the source and whether discounts or coupons are applied. Prices range from around $4.00 to $12.74 per tablet, with a typical cost of about $426 for a supply of 30 tablets. 

AWP (Average Wholesale Price) for Nexlizet is $475.15

Nexlizet Coupon

A Nexlizet Co-Pay Card is available from manufacturer, allowing eligible patients to pay as little as $10 per prescription fill. This offer is applicable to those with commercial drug insurance

Nexlizet $10 Coupon Eligibility

To be eligible for the Nexlizet Co-Pay Card, which allows patients to pay as little as $10 per prescription fill, the following criteria must be met:

  • The patient must be at least 18 years of age.
  • The patient must have a valid prescription for Nexlizet.
  • The patient must have commercial prescription drug insurance.
  • The patient must be a resident of the United States, including the District of Columbia but excluding territories like Puerto Rico and the US Virgin Islands.
  • The patient must not be enrolled in any state, federal, or government-funded healthcare program, such as Medicare, Medicaid, Medigap, TRICARE of the Department of Defense, or the Department of Veterans Affairs healthcare program.

It’s important to note that patients covered by federal or state healthcare programs are not eligible for co-pay assistance due to regulatory reasons. 

If a patient’s insurance coverage changes or they become enrolled in a Government Program during their enrollment in the Nexlizet Co-Pay Card program, they must inform a program representative and will no longer be eligible for the Co-Pay Card program.

Nexlizet Strength

Nexlizet 180 10 mg tablet

NDC: 72426-0818-03

Tablet Color: Blue

Tablet Shape: Oval

Tablet Imprint: 818 ESP

Foods to Avoid on Nexlizet

While taking Nexlizet, there are no specific foods that you must avoid. However, it is generally recommended to follow a cholesterol-lowering diet while on this medication. This may include eating fewer calories and a low-fat diet, which can contribute to weight loss and overall cholesterol management. It’s important to maintain a balanced and healthy diet and consult with your healthcare provider for personalized dietary advice. For detailed information on Nexlizet, including dietary recommendations, visit our weight loss section.

Dosage and Administration of Nexlizet

• Administer one tablet (180 mg bempedoic acid and 10 mg ezetimibe)
orally once daily with or without food.
• Swallow the tablet whole (Do not cut, chew, or crush the tablet.)
• If you are co-administrating Nexlizet tablet with Bile Acid Sequestrants, then  administer at least
2 hours before or at least 4 hours after bile acid sequestrants. Get a complete list of Bile acid sequestrants here.

Nexlizet Interactions

Understanding Nexlizet’s potential drug interactions is crucial for optimizing its use and ensuring patient safety. 

Simvastatin:

    • Clinical Impact: Using Nexlizet with simvastatin increases simvastatin levels in the blood. This heightened concentration may raise the risk of simvastatin-related myopathy.
    • Caution: It is advised to avoid using Nexlizet with more than 20 mg of simvastatin to prevent potential muscle-related issues.

Pravastatin:

    • Clinical Impact: Similarly, concurrent use with pravastatin leads to increased pravastatin levels, elevating the risk of pravastatin-related myopathy.
    • Caution: Limit the use of Nexlizet with pravastatin doses above 40 mg.

Cyclosporine:

    • Clinical Impact: When used with cyclosporine, Nexlizet increases the concentrations of both ezetimibe and cyclosporine.
    • Caution: Regular monitoring of cyclosporine levels is essential. The risks and benefits of this combination should be carefully assessed, especially in patients already receiving cyclosporine.

Fibrates:

    • Clinical Impact: Co-administration with fibrates, particularly fenofibrate, might increase the risk of cholelithiasis due to increased cholesterol excretion into the bile.
    • Caution: Monitor patients for signs of gallbladder issues. Consider alternative lipid-lowering therapies if cholelithiasis is suspected.

Cholestyramine:

    • Clinical Impact: Cholestyramine usage alongside Nexlizet can reduce ezetimibe concentrations, potentially diminishing Nexlizet’s efficacy.
    • Caution: To maintain effectiveness, Nexlizet should be administered either at least 2 hours before or 4 hours after taking bile acid sequestrants like cholestyramine.

Nexlizet Overdose

An overdose of Nexlizet can potentially lead to serious health implications. While the specific effects of a Nexlizet overdose may vary depending on the amount taken and individual patient factors, it’s crucial to understand the general risks and appropriate responses. Some of the symptoms include:

Muscle-related Symptoms:

Given that both components of Nexlizet can affect muscle tissue, an overdose may exacerbate muscle-related side effects like pain, weakness, or even more severe conditions like myopathy.

Liver Function Impairment:

Elevated doses might increase the risk of liver enzyme elevations, which could indicate liver damage or dysfunction.

Gastrointestinal Distress:

Overdosing may lead to gastrointestinal issues such as nausea, vomiting, diarrhea, or abdominal pain.

Electrolyte Imbalance and Kidney Function:

High doses could potentially disrupt electrolyte balance and affect kidney function, given the drug’s metabolic pathways.

Nexlizet Overdose – What you can do?

  • Seek Emergency Medical Attention: In case of an overdose, immediate medical attention is essential. Contact emergency services or call 911.
  • Symptomatic and Supportive Care: Treatment mainly involves managing the symptoms and providing supportive care. This may include monitoring vital signs, liver and kidney function, and addressing any specific symptoms that arise.
  • No Specific Antidote: Currently, there is no specific antidote for Nexlizet overdose. Treatment focuses on symptomatic relief and supportive measures.

Nexlizet Alternative

If you’re looking for alternatives to Nexlizet for managing cholesterol levels, there are several options available depending on individual health profiles and specific treatment goals. Here are some common alternatives:

  1. Statins: This is the most widely prescribed class for lowering cholesterol. Statins work by inhibiting the enzyme HMG-CoA reductase in the liver, which is responsible for producing cholesterol. Examples include atorvastatin, simvastatin, rosuvastatin, and pravastatin.

  2. Ezetimibe: While this is one of the components of Nexlizet, ezetimibe can also be used alone. It works by reducing the amount of cholesterol absorbed in the intestines.

  3. PCSK9 Inhibitors: These are relatively new and are used for patients who have genetic conditions leading to high cholesterol or for those who cannot tolerate statins. Examples include alirocumab and evolocumab.

  4. Bile Acid Sequestrants: These drugs work by binding to bile acids, leading to their excretion. This forces the liver to use more cholesterol to make more bile acids, thereby lowering cholesterol levels. Examples are cholestyramine, colestipol, and colesevelam.

  5. Niacin (Nicotinic Acid): Niacin can lower both LDL (bad) cholesterol and triglycerides and raise HDL (good) cholesterol. However, it can have significant side effects and is generally used as a secondary treatment.

  6. Fibrates: Primarily used to lower triglycerides, they can also have a modest effect on increasing HDL cholesterol. Examples include fenofibrate and gemfibrozil.

  7. Omega-3 Fatty Acids: These are natural supplements that can help lower triglyceride levels. They are available over the counter and by prescription.

  8. Lifestyle Changes: Often, the first line of defense against high cholesterol includes dietary modifications, increased physical activity, smoking cessation, and weight management.

Each alternative has its own profile of effectiveness, side effects, and interactions.

Questions & Answers on Nexlizet cholesterol lowering drug

How to take Nexlizet / Directions to use

Timing: Nexlizet is typically taken once daily usually at the same time each day to maintain an even level of the medication in your body.

With or Without Food: Nexlizet can be taken with or without food. Choose a routine that is easiest for you to remember and stick to it.

Swallow Whole: The tablets should be swallowed whole and not crushed, chewed, or broken.

Consistency: Consistency in taking your medication is key. Do not skip doses or stop taking the medication without consulting with your provider.

Lifestyle Modifications: Along with medication, follow any lifestyle changes recommended by your healthcare provider, such as diet, exercise, and weight control.

What to do when you Miss a Dose of Nexlizet:

If you miss a dose, take it as soon as you remember. However, if it’s nearly time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Is Nexlizet Safe?

Nexlizet is generally considered safe for its approved use, which is to help lower LDL cholesterol levels in adults with heterozygous familial hypercholesterolemia or established atherosclerotic cardiovascular disease. However, like all medications, its safety and appropriateness depend on individual patient factors, including overall health, other medical conditions, and concurrent medications.

Safety Profile of Nexlizet:

  1. Clinical Trials: Nexlizet has undergone clinical trials that demonstrated its efficacy and safety for lowering cholesterol levels when used as directed.

  2. FDA Approval: It received approval from the U.S. Food and Drug Administration (FDA), indicating that it has met standards for safety and effectiveness.

  3. Side Effects: Common side effects may include upper respiratory tract infections, muscle spasms, back pain, abdominal pain, bronchitis, anemia, and elevated liver enzymes. These are typically mild side effects.

Please check Nexlizet clinical results here.

Why is Nexlizet so expensive

The high cost of Nexlizet, like many prescription medications, can be attributed to several factors.  Here are some key reasons for its high cost:

  1. Brand Name and Lack of Generic Alternatives: Nexlizet is a brand-name drug, and as of now, there is no generic version available. Brand-name drugs are often more expensive than their generic counterparts due to the costs associated with research, development, and marketing.

  2. Research and Development Costs: The development of new drugs involves significant investment in research and clinical trials. These costs often get factored into the pricing of the medication once it reaches the market.

  3. Manufacturing and Quality Control: Producing medications that meet strict regulatory standards involves complex manufacturing processes and rigorous quality control, which can add to the cost.

  4. Market Factors: Pricing can also be influenced by market dynamics, including demand for the drug, competition, and the drug’s perceived value in terms of its effectiveness and innovation.

  5. Insurance Coverage and Rebates: The actual out-of-pocket cost for Nexlizet can vary depending on one’s health insurance coverage. Additionally, manufacturer coupons, copay cards, or patient assistance programs may be available to help reduce the cost for eligible patients.

Is Nexlizet a Statin?

No, Nexlizet is not a statin medication. It is used to help lower cholesterol levels, but it works differently from statins. Nexlizet contains two medicines, bempedoic acid and ezetimibe, that help lower LDL (“bad”) cholesterol in different ways: bempedoic acid reduces cholesterol production in the liver, and ezetimibe lowers cholesterol absorption from the intestines​​.

Can you take Nexlizet with Statin?

Yes, Nexlizet can be taken with a statin. In fact, Nexlizet is often prescribed as an adjunct to diet and maximally tolerated statin therapy for the treatment of  hypercholesterolemia.

How should I store Nexlizet?

  • To store Nexlizet properly, keep it at room temperature, ideally between 68°F and 77°F (20°C to 25°C).
  • It’s important to protect it from heat and moisture, so don’t remove the desiccant packet from the bottle as it helps keep the medicine dry. 
  • Nexlizet bottles have child-resistant caps for safety. Always ensure that 
  • Nexlizet and all other medicines are stored out of reach of children.

What are the ingredients in Nexlizet?

  • Nexlizet is composed of two main active ingredients that lower cholesterol: bempedoic acid and ezetimibe.
  • Besides these, it contains several inactive components that give the tablet its form and consistency. These include substances like colloidal silicon dioxide and lactose monohydrate for structure, magnesium stearate for smoothness, and sodium starch glycolate.
  • The tablet’s outer coating is made of various colorants like FD&C Blue dyes and titanium dioxide, along with other compounds to create the coating texture. These ingredients are common in many tablet formulations and are used to ensure the stability and effectiveness of the medication.

Nexlizet Reviews

Based on certain findings on breakthrough drug Nexlizet, some reputable sites provided the following ratings:

  • Average ratings 3.8 out of 5.
  • Ease of use got a rating of 4.0
  • Effectiveness received a slightly lower rating of 3.4.

These reviews provide insights into the real-world experiences of individuals taking Nexlizet, but it’s important to remember that individual experiences with medications can vary greatly.

Check ratings here

Zepbound weight loss Injection

Zepbound Powerful Weight Loss Medication

Brand name: Zepbound

Generic name: Tirzepatide

FDA Approval Date: 11/08/2023

Zepbound Doses

Zepbound is available in six doses (2.5 mg, 5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg). The higher the dose, the higher the cost.

Get Zepbound prescription filled within 24 hours, once available.
No long lines and no more waiting.

Zepbound Price $25

Zepbound price with insurance will vary depending on prescription coverage. Zepbound insurance coverage is required to get benefits of $25 copay savings program. Pay as little as $25 for 1 month or 3 months prescription with the Zepbound Savings Card. (Conditions apply)

What is Zepbound

Zepbound is a self injectable prescription medicine that is available in 6 different dosages. Zepbound is approved by FDA on November 8, 2023 for adults with obesity, or with excess weight (with a BMI of 30 kg/m2 or greater), or those who are overweight (with a BMI of 27 kg/m2 or greater). Medication is indicated to used with a low calorie diet plan and increased physical activity. 

How does Zepbound Work?

It works by mimicking two naturally occurring hormones in the body: glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). These hormones play a role in regulating blood sugar, appetite, and energy balance.

Here’s how Zepbound works in more detail:

  • GIP receptor agonism: GIP is a hormone that stimulates insulin secretion and increases fat storage. Zepbound activates GIP receptors, which helps to increase insulin secretion and reduce fat storage.
  • GLP-1 receptor agonism: GLP-1 is a hormone that slows gastric emptying, reduces appetite, and increases insulin secretion. Zepbound activates GLP-1 receptors, which helps to slow gastric emptying, reduce appetite, and increase insulin secretion.

By mimicking these two hormones, Zepbound helps to promote weight loss by:

  • Reducing appetite: Zepbound can help you feel full for longer, which can help you eat less.
  • Slowing gastric emptying: Medication slows down the movement of food from your stomach to your small intestine, which can also help you feel full for longer.
  • Increasing insulin secretion: It helps your body use insulin more efficiently, which can help to lower blood sugar levels.
Zepbound Weight loss Medication

Zepbound Side Effects

Here are some of the potential side effects of Zepbound:

  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Abdominal pain
  • Upper respiratory tract infection
  • Fatigue
  • Headache

If you experience any of these side effects, talk to your doctor. In most cases, the side effects are mild and go away on their own.

Serious side effects of Zepbound

Severe stomach problems. Sometimes stomach problems have been reported in people using Zepbound.

Kidney problems (kidney failure).  Diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems. Patients are suggested to drink more fluids.

Gallbladder problems. Gallbladder problems have happened in some people who use Zepbound. Pain is reported in upper stomach (abdomen). Fever, yellowing of skin or eyes (jaundice), or clay-colored stools have also been noticed.

Inflammation of the pancreas (pancreatitis). Severe pain in your stomach area (abdomen) with or without vomiting has been reported. You may feel the pain from your abdomen to your back.

Serious allergic reactions.  Serious allergic reaction, including swelling of your face, lips, tongue or throat, problems breathing or swallowing, severe rash or itching, fainting or feeling dizzy,  or very rapid heartbeat are also reported.

Low blood sugar (hypoglycemia). Zepbound with medicines that can cause low blood sugar, such as a sulfonylurea or insulin. Signs and symptoms of low blood sugar may include dizziness or light-headedness, sweating, confusion or drowsiness, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, mood changes, hunger, weakness or feeling jittery.

Changes in vision in patients with type 2 diabetes. Changes in vision during treatment with Zepbound is noticed with some patients.

Depression or thoughts of suicide. Pay close attention to changes in your mood, behaviors, feelings or thoughts. Call your healthcare provider right away if you have any mental changes that are new, worse, or worry you.

Zepbound Savings Card

Zepbound Savings Card is a co-pay assistance program that can help eligible patients with commercial insurance save money on their Zepbound prescription. With the savings card, eligible patients may pay as little as $25 for a 1-month or 3-month prescription fill of Zepbound.

Eligibility Requirements

To be eligible for the Zepbound Savings Card, you must:

  • Have commercial drug insurance that covers Zepbound™(tirzepatide)
  • Have a prescription consistent with FDA-approved product labeling
  • Not be a governmental beneficiary (e.g., Medicare, Medicaid, TriCare)

Zepbound Coupon

Using Zepbound coupon, eligible patients may save up to $150 per 1-month prescription fill, $300 per 2-month prescription fill, or $450 per 3-month prescription fill. The maximum annual savings is $1,800 per calendar year.

How to Use the Savings Card or Coupon

To use the Zepbound Savings Card, you will need to present the card to your pharmacist at the time of your prescription drop-off or pickup. The pharmacist will apply the savings to your prescription and you will pay the reduced co-pay.

Zepbound Cost

The list price for Zepbound (tirzepatide) is $1,059.87 per month. Actual cost for patients will vary depending on insurance coverage, pharmacy benefits and drug availability.

Patients with commercial insurance and covered: Patients with commercial insurance may be eligible for coverage of Zepbound. If they have coverage, they may still have to pay a co-pay, which can vary depending on their insurance plan. With the Zepbound Savings Card, eligible patients with commercial insurance may pay as little as $25 for a 1-month or 3-month prescription fill of Zepbound.

Patients with commercial insurance but not-covered: Patients with commercial insurance but no coverage may be eligible to obtain savings of up to $563 off your 1-month prescription fill of Zepbound. Month is defined as 28-days and up to 4 pens. Card savings are subject to a maximum monthly savings of up to $563 and a separate maximum annual savings of up to $7,319 per calendar year. Card may be used for a maximum of up to 13 prescription fills per calendar year.

As of today patients with commercial insurance but not-covered are paying $550 for a 4-week prescription after using zepbound coupon. Source

Patients without commercial insurance: Patients without commercial insurance may be eligible for financial assistance from Eli Lilly and Company, the manufacturer of Zepbound. The Eli Lilly Patient Support Program provides financial assistance to eligible patients who are unable to afford their medications.

Medicare and Medicaid coverage: Medicare and Medicaid do not currently cover Zepbound.

Here are some additional factors that can affect the cost of Zepbound:

  • Pharmacy: The cost of Zepbound can vary depending on the pharmacy where you fill your prescription. It is always a good idea to shop around to find the best price.
  • Discounts: There may be other discounts available for Zepbound, such as manufacturer rebates or coupons. You can check with your doctor or pharmacist to see if you are eligible for any discounts.

Zepbound vs Ozempic

Zepbound (tirzepatide) and Ozempic (semaglutide) are both glucagon-like peptide-1 (GLP-1) receptor agonists that are used to treat type 2 diabetes and promote weight loss. However, there are some key differences between the two medications.

Mechanism of action

  • Zepbound: Zepbound mimics two naturally occurring hormones in the body: GLP-1 and glucose-dependent insulinotropic polypeptide (GIP). GLP-1 slows gastric emptying, reduces appetite, and increases insulin secretion. GIP stimulates insulin secretion and increases fat storage. Zepbound activates both GLP-1 and GIP receptors, which helps to promote weight loss.

  • Ozempic: Ozempic mimics GLP-1, but it does not mimic GIP. This means that Ozempic may not be as effective at promoting weight loss as Zepbound.

Dosage and administration

  • Zepbound: Zepbound is available in six doses (2.5mg, 5mg, 7.5mg, 10mg, 12.5mg, 15mg) and is injected once a week.

  • Ozempic: Ozempic is available in four doses (0.25mg, 0.5mg, 1mg and 2mg) and is injected once a week.

Weight loss efficacy

  • Zepbound: In clinical trials, Zepbound has been shown to be more effective at promoting weight loss than Ozempic. In one study, people taking Zepbound lost an average of 22.5% of their body weight after 68 weeks of treatment, while people taking Ozempic lost an average of 13.4% of their body weight.

  • Ozempic: Ozempic is still a very effective weight loss medication. In clinical trials, people taking Ozempic have lost an average of 10-15% of their body weight.

Side effects

  • Zepbound: The most common side effects of Zepbound are nausea, vomiting, diarrhea, constipation, abdominal pain, upper respiratory tract infection, fatigue, and headache.

  • Ozempic: The most common side effects of Ozempic are nausea, vomiting, diarrhea, constipation, abdominal pain, upper respiratory tract infection, fatigue, and headache.

Overall, Zepbound appears to be a more effective weight loss medication than Ozempic. However, Ozempic is still a very effective medication and may be a good option for people who cannot tolerate the side effects of Zepbound.

Zepbound Weight loss

Zepbound Weight Loss Results

In a clinical trial, Zepbound showed significant weight loss results over 72 weeks. Participants taking 5 mg of Zepbound weekly lost an average of 35.5 pounds (16.1 kg), those on 10 mg lost around 48.9 pounds (22 kg), and the 15 mg group saw an average weight loss of 52 pounds (23.6 kg).

These results were notably higher than the placebo group, which experienced an average weight loss of about 5.3 pounds (2.4 kg).

It’s important to note that individual results can vary, and these figures are averages from the study participants.

Source: https://www.drugs.com/medical-answers/how-weight-lose-zepbound-3575539/

Zepbound and Stomach Paralysis: Understanding the Connection

What is Stomach Paralysis?

First, let’s talk about stomach paralysis, also known as gastroparesis. It’s a condition where the stomach doesn’t empty food properly. When this happens, people can feel really full quickly, experience nausea, vomiting, and have a hard time managing their blood sugar and nutrition.

Possible Zepbound’s Role in stomach paralysis

Now, Zepbound, or tirzepatide, works by affecting certain hormones in your body to reduce hunger and help you eat less. It’s given through a weekly injection under the skin. But here’s the catch: one of the precautions with Zepbound is that it might not be safe for people with severe stomach problems, including gastroparesis.

Why the Caution with Zepbound?

The reason for this caution is that Zepbound affects how your stomach and intestines work. It can slow down how fast your stomach empties food. For someone with gastroparesis, this could make their symptoms worse. That’s why doctors are careful about prescribing Zepbound to people with this condition.

What You Should Do

If you’re considering Zepbound for weight loss, it’s super important to talk to your doctor about your entire health history, including any stomach issues. And if you’re already on Zepbound and start having stomach problems, you should definitely let your doctor know.

Remember, every medication has its benefits and risks, and it’s all about finding what’s safe and effective for you.

Source: https://www.health.harvard.edu/staying-healthy/questions-and-answers-about-the-new-anti-obesity-medications

In Summary

Zepbound can be a helpful tool for weight loss, but it needs to be used carefully, especially if you have stomach issues like gastroparesis. Always work closely with your healthcare provider to make sure any medication you take is safe and right for your specific health needs.

Zepbound Availability

Medrocs Pharmacy is proud to announce the complete availability of Zepbound, a groundbreaking weight loss medication, across all strengths in our inventory.

Understanding the urgent needs of our customers, we ensure availability of Zepbound, making it convenient for you to access this effective treatment same day. To make Zepbound more accessible, we accept the Zepbound coupon, significantly reducing the cost and making it an affordable option for those in need of chronic weight management solutions. 

Our commitment to quality and trust is demonstrated through our choice of suppliers; Zepbound is exclusively purchased from reputed suppliers in the USA, guaranteeing you receive only the highest quality medication.

Zepbound vs Mounjaro

FeaturesZepboundMounjaro
Generic NameTirzepatideTirzepatide (same as Zepbound)
IndicationsWeight management in adults with obesity or overweight with at least one weight-related conditionType 2 diabetes management, and also used off-label for weight loss
Mechanism of ActionGLP-1 and GIP receptor agonistGLP-1 and GIP receptor agonist (same as Zepbound)
AdministrationSubcutaneous injectionSubcutaneous injection (same as Zepbound)
Common Side EffectsNausea, diarrhea, decreased appetite, vomiting, constipation, abdominal painNausea, diarrhea, decreased appetite, vomiting, abdominal pain, constipation
Available StrengthsZepbound 2.5 mg Pen
Zepbound 5.0 mg Pen
Zepbound 7.5 mg Pen
Zepbound 10 mg Pen
Zepbound 12.5 mg Pen
Zepbound 15 mg Pen
Mounjaro 2.5 mg Pen
Mounjaro 5.0 mg Pen
Mounjaro 7.5 mg Pen
Mounjaro 10 mg Pen
Mounjaro 12.5 mg Pen
Mounjaro 15 mg Pen

Both Zepbound and Mounjaro share the same active ingredient (Tirzepatide) and mechanism of action. While Zepbound is primarily indicated for weight management in adults with obesity or overweight with weight-related conditions, Mounjaro is officially approved for the management of Type 2 diabetes but is also used off-label for weight loss. The administration method is the same for both drugs, and they share similar common side effects.

Common Zepbound related Questions and Answers.

Is Zepbound same as  Mounjaro?

Zepbound and Mounjaro both contain the active ingredient tirzepatide, indicating they are essentially the same medication in terms of their active component. However, the branding and specific indications for use may differ. Zepbound is primarily marketed for weight management in adults with obesity or overweight with at least one weight-related condition, emphasizing its role in weight loss and obesity treatment.

Mounjaro, on the other hand, is approved for the management of Type 2 diabetes. It’s worth noting that medications like these, which are effective in controlling blood sugar levels, often have the added benefit of promoting weight loss. This dual functionality makes tirzepatide a valuable treatment option for individuals with Type 2 diabetes who are also overweight or obese, and it’s likely that some healthcare providers may prescribe it off-label for weight loss alone.

The core similarity between Zepbound and Mounjaro lies in their mechanism of action, as both drugs function as GLP-1 and GIP receptor agonists. This means they work by enhancing the body’s natural production of insulin in response to elevated blood sugar levels while also suppressing appetite, which can lead to weight loss.

Zepbound and Alcohol (Can you drink on Zepbound?)

Generally Zepbound and Alcohol do not have any direct interactions but drinking Alcohol may affect the blood glucose levels indirectly. 

Both hypoglycemia(low blood sugar) & hyperglycemia (high blood sugar) may occur, depending on how much and how often you drink. You should avoid using alcohol if your diabetes is not well controlled or if you have high triglycerides,& neuropathy (nerve damage), or pancreatitis. Moderate alcohol consumption generally does not affect blood glucose levels if your diabetes is under control.

Alcohol may interfere with the mechanisms of weight loss drugs that aim to reduce appetite or increase satiety.

Is Zepbound covered by Insurance?

Yes, Zepbound is covered by many major insurance plans, which means you can get help with the cost of this weight loss medication. Some of the big insurance names that cover Zepbound include UnitedHealthcare, Blue Cross Blue Shield, Aetna, and Cigna. 

However, it’s always a good idea to check with your specific insurance provider to make sure Zepbound is covered under your plan. This way, you can be sure about the coverage details and any possible out-of-pocket costs you might have.