Topics to discuss include whether a dose adjustment is appropriate, whether any of your other medications could be contributing to the plateau, whether lab work (thyroid function, metabolic panel) should be updated, and whether your current caloric intake and exercise plan need modification
Gut 38:916919 Hansen L, Hartmann B, Mineo H, Holst JJ (2004) Glucagon-like peptide-1 secretion is influenced by perfusate glucose concentration and by a feedback mechanism involving somatostatin in isolated perfused porcine ileum
10.3390/ijms20194716 442 TyagiA.ChoiY.-Y.ShanL.VinothkannaA.LeeE.-S.ChelliahR.et al
For patients who have plateaued on maximum-dose semaglutide, switching to tirzepatide is the most evidence-backed next step
Limiting carbonated beverages, which introduce additional gas, and reducing fatty foods, which further slow gastric emptying, may provide relief
Gastrointestinal side effects were the most commonly reported adverse events, including nausea, constipation, and diarrhea, most of which were mild to moderate in severity