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Cut Back On Caffeine, Nicotine, And Certain Over-The-Counter Meds Caffeine, nicotine, and stimulants such as pseudoephedrine can raise heart rate and amplify awareness of the pulse

JCI Insight 2020;5(17): 10.1172/jci.insight.140532)

Many patients are on a combination of an SGLT2 inhibitor with a GLP-1 receptor agonist or tirzepatide (a dual agonist) and have incredible success without adverse reactions, but we are still figuring out the patient characteristics that would put them at higher risk of poor outcomes. Eli J

Semaglutide GLP-1 injections for medical weight management are available at Set Point Medical Weight Loss Clinic

Asandra about all other medications you are taking and any medical conditions you have

Doses are reached through gradual escalation to limit side effects