I have been using GLP-1 analogs with my patients for the past five years and have seen many patients find reasons to stop using the medication. They complain about nausea, they complain about the cost, they say the needle hurts and they have even told me that they can’t get their money’s worth on a cruise because they are unable to eat enough….
I ask patients what alternative they would consider if they don’t want to use a GLP-1 analog anymore and then when they make their comments as to which pill they can use I explain why these will no longer work or are not a good choice, and this means that their other choice will be another injectable with the possibility of more than one shot a day.
I have found that another way to keep them on track is to allow them to see and feel the difference when they stop taking the GLP-1 analog. I ask them to make a food diary for a week before they try doing without the medication and also have them monitor their blood glucose. We then agree to a two-week holiday without the medicine as long as they do a food diary and check glucose levels. Over 90% of the patients who try this drug holiday go back on the medication and stay on it.