Patient's Query
Hi doctor,
I started compounded Semaglutide eight weeks ago through a weight management clinic after insurance denied coverage for Wegovy. I am 54, BMI 41, with metabolic syndrome (hypertension, dyslipidemia, prediabetes with A1C 6.3). I lost 27 pounds so far, which is impressive, but I have been experiencing concerning side effects for the past few weeks. Having persistent nausea despite anti-nausea medications, severe constipation requiring prescription medications, fatigue so extreme I can barely function at work, and most concerning is the development of intermittent double vision and severe headaches—current dose 1.0 mg weekly with plans to increase to 1.7mg next month. Are visual disturbances known as a side effect of Semaglutide? Should I be concerned about possible impurities in the compounded version, given the FDA warnings I have read about? Would switching to an FDA-approved version potentially reduce these side effects? I also noticed my heart rate consistently elevated, which was not mentioned as a potential side effect. Should I continue increasing the dose, given these issues?
Kindly guide.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
As you told, you are using Semaglutide, which is an anti-diabetic medication. It can severely lower your blood sugar levels, and also cause changes in your eye lens, causing intermittent blurring of vision. This has some potential side effects for the eyes, so kindly get a fund examination done and consult a general physician or endocrinologist if you are considering increasing the dose of the drug.
I hope this information will help you.
Thank you.
Investigations to be done
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Answered byDr. Lavi Madhur
Medically reviewed byiCliniq medical review team
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