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Metamucil, Citrucel) Weekly-dosed GLP-1 agonists Trulicity (Dulagultide) Bydureon BCise (Exenatide ER) Ozempic / Wegovy (Semaglutide) Mounjaro / Zepbound (Tirzepatide) Adipex-P / Lomaira (Phentermine) Qsymia (Phentermine/Topiramate) THE DAY BEFORE Questran (cholestyramine) Lomotil Imodium (loperamide) Colestid (colestipol) DAY OF PROCEDURE Daily-dosed GLP-1 agonists Saxenda / Victoza (Liraglutide) Byetta (Exenatide IR) Rybelsus (Semaglutide) Adlyxin (Lixisenatide) Morning dose of oral diabetic medication (bring it with you) NOTHING BY MOUTH 3 HOURS BEFORE YOUR PROCEDURE Examples of clear liquids Popsicles, for red, purple, or blue EXCEPT Coconut water ( coconut milk) NOT Gatorade Kool-Aid Strained fruit juice (apple or white grape) Jell-O Coffee and tea (without dairy products/creamer) Soft drinks Tips If you start to feel nauseous while prepping, try: Pause drinking the prep until the feeling improves, then resume Decrease the amount you drink at a time Take more time between drinks Refrigerate the prep mixture Use a straw Prep goal: your stool should be clear and yellow

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Topical Peptides: Comparing Side Effects When administering peptides, the choice between injectable and topical forms can significantly impact results and safety