Often referred to colloquially as natures Ozempic, berberine works through a very different mechanism than GLP-1 medications
Erectile Dysfunction Medications and Treatments Oral medications like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) remain first-line treatments for ED
Cardiovascular Outcomes Liraglutide (LEADER trial): 13% reduction in major adverse cardiovascular events (MACE) in patients with Type 2 diabetes and high cardiovascular risk Statistically significant cardiovascular protection Semaglutide (SELECT trial): 20% reduction in MACE in patients with obesity and established cardiovascular disease Studied specifically for cardiovascular outcomes in obesity (not just diabetes) Both medications provide cardiovascular protection, but semaglutides evidence is more recent, more robust, and specifically applicable to patients with obesity regardless of diabetes status
We also suggest to our clients to avoid large meals (which can cause stomach aches, etc.) and instead eat smaller meals spaced out through the day
No professional organization (ACOG, AAP, or ASRM) has issued specific lactation guidance for GLP-1 medications, leaving individualized clinical judgment as the standard approach
