Calories: 1,800 (moderate deficit) Protein: 180g (720 calories, 40%) Carbohydrates: 135g (540 calories, 30%) Fat: 60g (540 calories, 30%) Meal Timing Considerations Retatrutide slows gastric emptying significantly, meaning food stays in your stomach longer and larger meals can cause discomfort
We report a case in which the use of semaglutide for weight loss was associated with delayed gastric emptying and intraoperative pulmonary aspiration of gastric content
First-line investigations typically include serum/urine hCG, FSH, LH, oestradiol, prolactin, and thyroid function tests
It depends on your state: Full practice states (like WA, OR, AZ, NM, IA, MN, WI, MI, MD, DE, RI, CT, VT, NH, ME, AK, HI, DC): Yes, after meeting experience requirements Reduced practice states (NY, IL after 3,600-4,000 hours): Yes, once youve achieved independence Restricted practice states (TX, FL, AL, GA, etc.): No you need a collaborating physician and explicit authority in your practice agreement Even in independent states, ensure you have competency in obesity treatment (consider additional training) and be aware some insurers/pharmacies may request physician involvement for expensive GLP-1 scripts
