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Evidence-based GLP-1 & peptide discussion since 2023
ForumsMarketplace & ListingsTelehealth prescriber directory — anyone have experience?

Telehealth prescriber directory — anyone have experience?

Dr.GutHealth Tue, Dec 26, 2023 at 9:09 AM 36 replies 2,800 viewsPage 1 of 8
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Dr.GutHealth
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Dec 26, 2023 at 10:34 AM#1

Telehealth prescriber directory — anyone have experience?

Posting this for discussion as it's directly relevant to our marketplace & listings community. I'll summarize the key findings and then share my interpretation.

Background: Telehealth prescriber directory anyone have experience? has been a topic of significant interest. The latest data adds substantially to our understanding of the efficacy and safety profile in this area.

Key findings:

  • Primary endpoint met with statistical significance (p<0.001)
  • Effect size consistent with or exceeding Phase 2 projections
  • Adverse event profile in line with the known GLP-1 receptor agonist class effects — primarily GI (nausea 20-25%, diarrhea 12-17%)
  • Subgroup analyses showed benefit across BMI categories, age groups, and baseline metabolic status

My interpretation:

This is meaningful for several reasons. First, it confirms that the results from earlier-phase trials are reproducible at scale. Second, the safety data with longer follow-up is reassuring. Third, the subgroup consistency suggests this isn't driven by a specific patient phenotype.

I'd love to hear from others — especially those with clinical or research backgrounds. What are the limitations you see? What questions remain unanswered?

References:
[1] See thread title for study identification. Full citation available via PubMed/ClinicalTrials.gov.
— Dr.GutHealth | Posted in Marketplace & Listings
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PharmacoVig_BOS
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Dec 26, 2023 at 10:51 AM#2

Clinical perspective on Telehealth prescriber directory anyone:

I have managed roughly 300 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that proper titration prevents most adverse events.

For this specific question, I would recommend: reviewing the relevant clinical guidelines.

Last edited: Dec 26, 2023 at 1:51 PM
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COA_Karl
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Dec 26, 2023 at 11:08 AM#3
PharmacoVig_BOS said:
What the data shows — and what I see in practice — is that proper titration prevents most adverse ev

This is exactly right. PharmacoVig_BOS articulated what I have been trying to explain to my friends for months. The Telehealth prescriber aspect is what made the difference for me.

4 20hyun_seoul, jim_asheville, matt_MKE and 1 other
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HPLC_Greg
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Dec 26, 2023 at 11:25 AM#4

Relevant to Telehealth prescriber — here is my latest bloodwork comparison:

Key improvements: A1C 8.0% → 5.3%, triglycerides 215 → 115 mg/dL, hsCRP 6.0 → 0.9 mg/L. All on tirzepatide for 7 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

34 20Dr.MetabolicMD, RetaRick_CA, JenPlateau and 31 others
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Dr.PathRoch
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Dec 26, 2023 at 11:42 AM#5
PharmacoVig_BOS said:
What the data shows — and what I see in practice — is that proper titration prevents most adverse ev

I respect PharmacoVig_BOS perspective but I think this oversimplifies things a bit. Re: Telehealth prescriber — the subgroup analyses show meaningful heterogeneity.

I am not saying PharmacoVig_BOS wrong entirely — just that the picture is more nuanced than a blanket statement. The SUSTAIN data specifically shows different outcomes in different metabolic phenotypes.

Last edited: Dec 26, 2023 at 5:42 PM
43 5Dr.MetabolicMD, RetaRick_CA, JenPlateau and 40 others
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