Successful management with GLP-1 analogues in refractary dumping syndrome after laparoscopic gastric bypass
This may include: Assessment for fecal impaction (digital rectal exam or imaging) Evaluation for other causes of constipation (hypothyroidism, medication interactions, structural issues) Discussion of dose reduction or treatment alternatives Prescription motility agents (prucalopride, linaclotide) Referral to gastroenterology for refractory cases Foods and supplements that worsen GLP-1 constipation Constipating foods to limit or avoid: Processed foods low in fiber
If there is a history of individual sensitivity or digestive discomfort, it is prudent to assess tolerance and discontinue if persistent manifestations occur
Medication Side Effects and Nutritional Deficiencies Certain medications, including some blood pressure drugs and cholesterol-lowering agents, can cause muscle pain or fatigue
I generally start the hormones one at a time so I know whats causing the benefits or any side effects
Subscription Benefits Each membership typically includes: Access to board-certified clinicians for evaluations and follow-ups Prescriptions for GLP-1 medications (semaglutide or tirzepatide, if eligible) Direct-to-door medication delivery in discreet packaging One-on-one health coaching to create sustainable weight management plans Telehealth visits, chat support, and progress tracking Package Flexibility Brello offers monthly subscription plans with the option to adjust or cancel based on progress or medical needs