Instead of overhauling everything at once, ask yourself: Can I drink one more glass of water? Eat one more vegetable? Small shifts add up.
A simple hack? Flip the old food pyramid: 🥦 Veggies first, then protein, healthy fats, some fruit, a little starch, and minimal sugar. Most of us eat way more starch and sugar than we realize—let’s change that.
Check out this episode of The WeightCare Podcast with Steph Skeba now where we explore the integral role of nutrition in a holistic weight management strategy, especially when complemented by GLP-1 weight loss medications.
🎧 Tune in now: https://youtu.be/A3CqNJmTvqU
What’s your 1% better today? ⬇️
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When it comes to managing weight loss and improving glycemic control in patients with type 2 diabetes, two popular medications often come into consideration: dulaglutide and semaglutide. Both of these medications belong to a class of drugs called glucagon-like peptide-1 receptor agonists (GLP-1 RAs), which are known for their ability to help regulate blood sugar levels and promote weight loss. However, despite their similarities, there are some key differences between dulaglutide and semaglutide that patients and healthcare providers should be aware of when deciding which medication to choose.
Dulaglutide
Dulaglutide, sold under the brand name Trulicity, is a once-weekly injectable medication that works by stimulating the GLP-1 receptors in the body to increase insulin secretion, decrease glucagon secretion, and slow gastric emptying. This helps to lower blood sugar levels and promote weight loss in patients with type 2 diabetes. Dulaglutide is typically used as part of a comprehensive treatment plan that includes diet and exercise to help improve glycemic control.
One of the key benefits of dulaglutide is its convenient dosing schedule, as it only needs to be injected once a week, making it a popular choice for patients who prefer a less frequent dosing regimen. Additionally, dulaglutide has been shown to significantly reduce HbA1c levels and body weight in clinical studies, making it an effective option for patients looking to improve their diabetes management and lose weight.
While dulaglutide is generally well-tolerated, some patients may experience side effects such as nausea, diarrhea, or injection site reactions. It is important for patients to discuss any potential side effects with their healthcare provider and to report any unusual symptoms while taking dulaglutide.
Semaglutide
Semaglutide is another GLP-1 RA that is available in both injectable and oral formulations. The injectable form, sold under the brand name Ozempic, is typically administered once a week and works in a similar way to dulaglutide by stimulating the GLP-1 receptors to promote insulin secretion and weight loss. The oral form, sold under the brand name Rybelsus, is taken once daily and is approved for the treatment of type 2 diabetes.
One of the key advantages of semaglutide is its superior efficacy compared to other GLP-1 RAs, including dulaglutide. Clinical studies have shown that semaglutide is more effective at reducing HbA1c levels and promoting weight loss, making it a popular choice for patients with more aggressive treatment goals. Semaglutide has also been shown to have cardiovascular benefits, reducing the risk of major adverse cardiovascular events in patients with type 2 diabetes.
Like dulaglutide, semaglutide may cause side effects such as nausea, vomiting, or diarrhea. Patients should discuss any potential side effects with their healthcare provider and report any symptoms that are bothersome or persistent while taking semaglutide.
Choosing Between Dulaglutide and Semaglutide
When deciding between dulaglutide and semaglutide for weight loss and diabetes management, it is important to consider several factors, including dosing schedule, efficacy, side effects, and individual treatment goals. For patients who prefer a once-weekly dosing regimen and are looking for a well-tolerated medication that effectively lowers blood sugar levels and promotes weight loss, dulaglutide may be the preferred choice.
On the other hand, patients with more aggressive treatment goals may benefit from the superior efficacy of semaglutide, which has been shown to be more effective at reducing HbA1c levels and promoting weight loss. Additionally, patients with cardiovascular risk factors may benefit from semaglutide’s cardiovascular benefits, making it a preferred choice for patients with underlying cardiovascular conditions.
Ultimately, the decision between dulaglutide and semaglutide should be made in consultation with a healthcare provider who can help assess individual treatment goals, preferences, and risk factors to determine the most appropriate medication for each patient. Both dulaglutide and semaglutide are effective options for managing weight loss and improving glycemic control in patients with type 2 diabetes, and the choice between the two medications should be based on individual patient needs and treatment goals.
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Here’s the realistic timeline for healthy weight loss—and how much you should aim to lose per week for long-term success.
Slow isn’t sexy, but it works.
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Dr. Theresa Garza is a native Texan born and raised in Abilene. She attended Wylie schools in Abilene but subsequently entered the Texas Academy of Mathematics in Science (TAMS) in Denton, where she received her high school diploma and was on the Dean’s List. She earned a bachelor’s degree in Biology from the University of Texas at Austin with honors. She then attended medical school at the University of North Texas Health Science Center/Texas College of Osteopathic Medicine in Fort Worth.
She completed her family medicine residency at Methodist Hospitals of Dallas in 2004, joined an existing family practice group, and helped open two more family medicine clinics in the Dallas area. Dr. Garza has served as medical director for a gastric band company, in which she managed patients pre- and postoperatively including the development of aftercare programs. She has been in private practice seeing patients for weight management for approximately six years.
She has appeared numerous times on Good Morning Texas to discuss obesity and gastric banding. For over ten years, she has been working with bariatric patients with the education and treatment of obesity as well as the related co-morbid conditions.
Dr. Garza is board-certified by the American Board of Family Medicine and a guidelines-compliant member of the American Board of Bariatric Medicine. She is a member of the American Society of Bariatric Physicians, Texas Medical Association, Dallas County Medical Society, American Academy of Anti-Aging Medicine, and Obesity Action Coalition. She is also an affiliate physician member of the American Society for Metabolic and Bariatric Surgery.
She has two dogs, Hercules and Phoenix.
To schedule an appointment please visit
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