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It seems like there's more coming, there are more medications that are gonna be even more powerful in terms of changing body weight. There's gonna be I think even more to deal with. One of my big concerns is what is the world like if we assume that everybody can be smaller? If you just take this injection, everybody can be smaller. Where does that leave us? To me, it seems so unbelievably overwhelming to think like, ‘How much worse will that make weight bias?’ - Dr. Jillian Lampert #edrecoveryjourney
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2018 update: Invokana MAY be associated with an increased risk of amputations. Farxiga and Jardiance have not shown this possible side effect. Its not clear weather this is a statistical anomaly, if Invoka was used in sicker patients than the other studies, or it actually has this risk. At this time, I see no reason to use Invokana when the other 2 drugs have not had any concerns about this risk.
A new class of diabetes drugs called the SGLT2 or Sodium GLucose coTransport 2 have been developed. The first to come to market is called Invokana.
These drugs block the reabsorption of glucose in the kidneys, and cause glucose or sugar, to be spilled in the urine. This lowers blood glucose, as well as weight loss. The loss of 40-80 grams of sugar in the urine equates to 160-320 calories per day, or 15-30 minutes of exercise equivalent.
The major side effect is vaginal yeast infections and urinary tract infections from the sugar feeding yeast and bacteria. They may also increase the risk od bladder cancer. In fact another drug in this family, Daptogloflozin, was blocked from being released to market until further cancer studies can be done