[Music]
welcome to sugar and ease today we are
going to talk about medications know
your medicine series we are going to
talk about Olympic so it's relatively a
new medication came to the market around
a year or two ago it's a once a week
glp-1 hormone
once the glp-1 hormone it's a
gastrointestinal hormone it's just a
fancy name for a gastrointestinal
hormone so why do we give you gossart
intestinal hormone right so if you think
about it there must be a communication
between your stomach and your pancreas
right they don't speak English they
don't speak Turkish days they must speak
something so the hormones are basically
the way of communication within your
stomach and your pancreas the Olympic is
a gastrointestinal hormone mimicker that
mimics the gastrointestinal hormone that
your body makes but when you have a
diabetes just like your resistance
action of the insulin you may be
resistant to the action of the
gastrointestinal hormones so as a result
we give that to you to compensate for
the resistance and every time you eat
now you suddenly start making insulin so
what's the benefit of that we used to
give people insulin for anything you
have a higher figure here is insulin
here you have water sugar isn't but the
development of these drugs within the
last ten years or so now we are using
these medications to help with your
body's own insulin production the couple
of our signs about these drugs of course
number one these drugs are expensive and
then your physician has to be so much
creative to come up with some solutions
for you at that point however if you
can't afford those empik this is how you
use I'm going to describe from a dosing
perspective how can you practically use
those epic
prescription label says you start with
the 0.25 milligram weekly for four weeks
and then you go to 0.5 milligram for the
following four weeks and if you need
more you can go up to one milligram and
that's between you and your physician
now 0.25 milligram may be tolerable to
on 80 to 85% of people in my practice
however occasionally people will have
problems with the medication you should
not be giving this medication to people
who already have gastrointestinal
problems however assuming that your
physician looked into that and you have
any problem and you got a prescription
if the 0.25 milligrams is bothering you
and creating a lot of stomach upsets
knowledge of your vomiting you can
actually cut that back when you dial
this pen you can actually count the
number of clicks there are 17 clicks
between 0 and 0.25 I have found
beneficial that if they start with maybe
five or six clicks and the following
week they can do ten clicks and the
following week they can do 17 clicks
dividing the smallest amount the amount
of those into three weeks then they are
generally more successful in terms of
tolerating the medication however your
physician will tell you how to adjust
the other medications around this
medication it may be a little tricky
however we're always here to answer your
questions so here any questions do not
hesitate to call us at sugar and ease so
what are the extra benefits of axanthic
that comes on the side yes it can cause
knowledge initially which is temporary
it can cause vomiting at that point I
think you should really talk to your
doctor in terms of continuous stopping
the medication however if you have able
to balance some slight nausea your
appetite goes down you don't crave for
this junk food any more you don't crave
for even real food any more you may
actually feel free you may do you met
you may get a lot of things done you may
feel more energy to go exercise and I
see patients sometimes losing 5 10 15 20
pounds or more depending on on their
personal experience was a drug however
this is one positive effect of was empik
so the second positive effect of Oz epic
is that when they looked at the
cardiovascular safety profile they found
that there was actually 27% reduction in
cardiovascular related deaths however
the study was not powerful enough to
prove that there was a real benefit so
keep that in mind how to use up it
correctly now this pen comes in multiple
different doses you can see it shows
zero right now for the needles it comes
in the package and these needles are
really nice and they are really small
your initial starting millas is
typically 0.25 so you have to go all the
way until you see the 0.25 the arrow
indicates that and then next thing you
have to do take the cap off from the pen
you have to attach the needle to your
pen and screw that on and you take that
first cap off and then there will be
another cap you take that off as well as
yes see it's a very tiny needle 4
millimeter ask your doctor do not give
more than longer than this because it's
not really necessary to use a longer
needle third is as your abdomen however
you can also doing your tie area at the
back of the buttocks or upper arm
whatever you prefer 2 inches away from
umbilical area please next thing you do
you can clean your skin so all you have
to do is go directly 90 degrees to your
skin push the plunger you will hear the
sound and then you generally wait around
5 to 10 seconds after that you can pull
back and unscrew your pen needle and
then after that your pen is back to zero
is ready for the next injection remember
this is only once a week injection you
do not do it daily and after four weeks
you can advance to 0.5 which is all the
way at the end and this pen olds 2
milligram total so if you are using 0.25
milligram for 4 weeks and then 0.5
milligram following 2 weeks that pen
will last you six weeks while you use
this pen can stay outside and you do not
have to refrigerate if you have any
problems with the medications side
effect the cause
the dosing information please call us at
sugar musicom you'll find a way to help
you out
[Music]