111: What To Expect When You Begin a GLP-1

GLP-1 medications can feel like a Rorschach test online: one person calls Ozempic or Wegovy a miracle, another calls it miserable, and almost nobody explains what the “normal middle” looks like. We wanted to fix that with a practical walkthrough of what tends to happen after you start a GLP-1 receptor agonist, especially in those first weeks when you’re on a low dose and you’re wondering if anything is happening at all. 

We talk through the early ramp-up, realistic weight loss expectations, and the biggest lived experience change we hear from patients: food noise getting quieter. We break down the difference between normal hunger cues and constant appetite chatter, why cravings often drop, and how that creates a real window of opportunity to build routines that used to be hard. We also get honest about common side effects like nausea, constipation, and feeling overly full, plus simple strategies that can make them more manageable and safer. 

Then we zoom out to the long game: what it means to treat obesity as a chronic condition, why plateaus don’t automatically mean the medication “stopped working,” and how to define success beyond a single scale number using cardiometabolic health wins. After the clinical talk, we lighten things up with some banter about Ollie’s pet store obsession and the strange things strangers say on a walk. 

If this helped you, subscribe, share it with a loved one, and leave a review so more people can find practical, judgment-free education on GLP-1s and healthy weight loss.

Transcript

Welcome And The GLP-1 Question

SPEAKER_01 0:03

Hi, welcome to your checkup. We are the patient education podcast, where we bring conversations from the doctor's office to your ears. On this podcast, we try to bring medicine closer to its patients. I'm Ed Delesky, a family medicine doctor in the Philadelphia area.

SPEAKER_00 0:17

And I'm Caller Ruffel. I'm a nurse.

SPEAKER_01 0:19

And we are so excited you were able to join us here again today. So what are we going to talk about today, Nick?

SPEAKER_00 0:27

Today we're talking about what happens after you started GLP.

SPEAKER_01 0:32

So you started GLP one. Maybe it was Ozempic for diabetes, Moonjaro for diabetes. Maybe it was for the treatment of underlying obesity, obstructive sleep apnea. Maybe you started Wagovy, injectable or oral. Maybe you started Zetbound or Foundaleo. Maybe you did. Of course, we're going to have to do an update episode on like the new state of affairs with all of these, because we have an older one, but like, gosh, we have a lot to review. But if you've started one, now you're probably wondering what should I expect exactly? Because if you were looking online, you're probably going to see two extremes: people who say it's a miracle and people who say it's awful. And usually the majority of people live in the middle, and it's neither. So we're going to try to explain what we mean by that a little bit more today. So today we're going to walk you through what actually happens week by week, physically, mentally, and realistically. So you know what's normal and what's not when you're taking those first early days. We're doing this because this is like right along in theme with coming off of the obesity medicine conference and sharing a lot of things that we learned for you. So hopefully you find the themed episodes uh to be helpful. So, Nikki, can you help explain for the audience uh in the first couple weeks of someone taking the medicine what they might be expecting?

SPEAKER_00 2:07

Yeah, I sure can. So the first week or two is when you're starting off, you're starting off on the lowest dose. So this is kind of the like weight is it working phase. Um, I've seen different things just kind of that have been served to me online where people, I feel like, notice an immediate um change. But I think that's all relative, especially maybe if you are starting off at a higher weight, you have more weight to lose.

SPEAKER_02 2:35

Yeah.

SPEAKER_00 2:35

You'll start losing weight quicker, especially if you do like a drastic kind of life change. But generally the first one to two weeks are starting off slow, not much is really happening. This can surprise people because I do think people imagine that it will just be like day and night after the first dose. Um, but we're starting off low or at a low dose on purpose to reduce the side effects and kind of let your body adjust to it. So you might notice that you're slightly less hungry or feeling full sooner. Um, but a lot of people say that they don't feel it yet. And that's just part of the process.

Hunger Versus Food Noise

SPEAKER_01 3:13

Totally. This is definitely not a sprint, it's a ramp. Um, if you've listened to any bit of what we've been talking about, is that this is the long-term thing. This is a long-term solution. So I'll take from like, you know, in the later, when you start getting into a little bit more of a routine with this, whether you're on your weekly injections or you're taking your daily medicine now, this is where things start to change. Patients will often say things like, I just don't think about food as much, which is actually a pretty phenomenal thing. Um, this might be a nice time to define two of the symptoms or lack of or non-symptoms, where there's hunger, which people experience like coming to a meal. Like maybe you had your breakfast and you're going through your day and you're getting to like two, three o'clock because like maybe you haven't eaten yet, and you start to get hungry. That's hunger, which is different from food noise, which is what happens every time you cook a meal for me. Um, where someone eats, and then while they're eating and after they're eating, they are thinking about food the rest of the way, all the way up until their next meal and constantly, which is very different from hunger, which is like an episodic thing where like someone will eat, it'll go away, then hours later they'll be like, ooh, I feel like I should eat something. The food noise is appetite dysregulation at its finest example. And so getting back to it, the the magic of these medicines is not that there's the willpower changes or that discipline changes. It helps create less noise physically when you are actually going through this process. So you may notice smaller portions feel satisfying. Or when you have a plate in front of you, you know, our not advice educational thing that we'll say is that like when you start eating, you cut your meal in half, but you may notice that the last couple bites are things that you might leave on the plate and feel totally okay with that. Cravings will decrease. And this one's a huge one because we've explained recently that the margin for weight gain over time is razor thin, like a pound a year, and a lot of that can come through snacking. So when people oftentimes are on these medicines, they forget to snack. It's just something that's not on their mind. And this is usually when the weight loss begins. And the hope is that it's gradual and durable. And we're talking a pound or two a week, and it's not very dramatic, but it's very real. Because if you do a pound or two a week and you pop your head up, after a month and a half, you might be in a noticeable place where it's different.

SPEAKER_02 6:03

Yeah.

Common Side Effects And Fixes

SPEAKER_01 6:05

So can you take us through um, you know, some of that softening of the the hunger and the food noise leading to some of the leading to some improvement in intake. Can you take us through, we have a whole episode on this, but maybe take us through the early parts of what someone may experience in terms of side effects.

SPEAKER_00 6:27

Yes. The part everyone loves to talk about more than the actual effects for some reason. For some reason. Okay, so the three most common side effects of these medications, like we have said before, are nausea, constipation, and then kind of just feeling overly full. Um, it is important to note that these side effects are typically temporary and dose related, meaning if you are, if it's like the oral one and you're increasing your dose, you might notice these effects more so the first few days when you start it. Um and then I know when people are on an injectable, they can also say, like maybe the first day or two after they take their dose, they can kind of feel these symptoms and then they go away. And then, of course, when you're increasing your dose with that too. Um, so these can often improve if you are eating smaller meals, avoiding heavy and greasy foods and staying hydrated. Um yeah, there are also other medicines you can take to counteract those things temporarily if it's something that you really can't tolerate, which you can talk to your doctor about.

Habits That Protect Muscle

Do You Stay On It Forever

SPEAKER_01 7:44

Right, totally, and always ask. There's one thing I want to um, you know, jump in here, a little like 201 side effect thing is mistaking feeling a sort of negative GI side effect for for like whether you maybe had like a spicy food or maybe you had you ate the portion of food too quickly, but not a substantial portion size, this can lead to someone feeling some like discomfort or maybe even a feeling like on the next level, like mentally, a little bit of guilt that they if they feel this sensation of fullness, they feel like they've eaten too much. And so when we go from like one end of the spectrum where people are like have an intake that is being influenced by abnormal hunger, hunger regulation and appetite dysregulation. And then we go to the other side where we essentially turn that off, people can experience a little bit of like this relationship change with food to the point where like there's a question of like, oh, I did I have too much? And that can be happen very commonly. And I just want to call that out and say, like, make sure you're eating enough when you're on these medications. Um, and to that end, our next segment is about how your relationship changes with food. Um, food, like we've talked about, becomes quieter. And other conversations that I've had with patients is that they say, like, you stop eating halfway through and like don't care. I don't crave what I normally used to, or they finally feel full. And for some people, that can be a very emotional experience. And because for years they felt like they were always hungry, they lacked control, and suddenly that feeling is gone because they don't just change your body, they change your experience of eating. So there are a couple easy pitfalls and mistakes, and here's where people can get into trouble. Some people can think that the medication is doing everything, so I don't need to change anything. But we would argue that this is your window of opportunity because while your hunger is lower, you can build habits that were previously much harder to. This is when to focus on protein intake, strength training, and optimizing your sleep. Because the medication helps you lose weight, but your habits determine what kind of weight you lose. It's very important to avoid using excess muscle mass while taking these medicines. And at some point, if weight loss does slow down, people can become very jarred by that. Sometimes they'll think it stopped working, but that's not exactly what's happening. Your body tends to adapt and rebalance. Your body is a very complicated system that helps keep things the way it is and in balance. So this is essentially normal in any part of any weight loss journey. And it's an important opportunity to reframe the goal. That the goal is not constant rapid weight loss, it is sustainable change over time to improve cardiometabolic health. Um, I'm gonna pass this one off to you because you love to talk about this part, and I say that like quasi-facetiously. Talk about what? We're gonna have a whole episode on what happens if you had to stop a GLP1 medication. But this next question comes on, like when someone's the early days of starting this, and they're like, ooh, I'm interested in Wakovi. I'm interested in Zepp bound. I I'm thinking about taking this, but do I have to stay on this?

SPEAKER_00 11:21

The question everybody asks.

SPEAKER_01 11:24

Yes.

SPEAKER_00 11:25

And the honest answer is maybe, because, well, everyone's different, and we're treating a chronic condition. So if you stop taking the medication, that is, you know, stopping your hunger signals, making you lose weight, you'll probably start to feel hungry again. If you're not kind of keeping everything in check and being mindful of things, you might start to gain weight again. Like I've said before. I don't even think I have to say it again. It doesn't mean you failed, it just means that the biology came back. So the conversation becomes long-term use, maintenance strategies, um, or transitioning thoughtfully. And you know, another thing to think of I feel like there's also, sorry.

SPEAKER_01 12:18

Oh, that's great. Please cut you off. Please cut me off.

SPEAKER_00 12:21

And you can cut this because I don't know how like medically backed this is, but when the people are out here like quote unquote microdosing on GLPs, go ahead and maybe they like stay to I guess it's you're staying at the lowest dose, maybe not even doing it if it's an injectable, like once a week, maybe like once every other week or so.

SPEAKER_02 12:43

Yeah.

SPEAKER_00 12:44

I know we've talked about um just with the like flexibility of the oral one, and maybe it's something that you do every other day, or maybe it's weekend dosing, because maybe you are really good on your routine during the week, but then on the weekend it just like all goes to crap. I know. So you want to like have that added support, but I don't know if there's any like official literature on that. I don't know.

SPEAKER_01 13:10

And I'm I'm so interested because it's all relatively new. I am so interested. But you were saying, I'm sorry.

SPEAKER_00 13:16

Well, like if you're on the oral one, this might not be something that you need to like wake up and take every day for the rest of your life.

SPEAKER_02 13:24

Right.

SPEAKER_00 13:24

Like it's also like not that big of a deal if you are, because like how much effort is that to do? But yeah.

SPEAKER_01 13:31

But no, I agree with you. I think there is um it's this is the way what are this is the way that we are right now, but I think we will come to understand that maybe these medicines behave similarly to other ones, like iron, like the the body's like iron defense system turns off its absorption of iron the second day you take it, and that falls into the third day. So every other day dosing is like just as effective as everyday dosing when it comes to iron absorption. Previously, people were out here doing iron three times a day.

SPEAKER_00 14:09

Because it was like they weren't absorbing it, yeah.

Redefining Success Beyond The Scale

A Stranger Says Something Wild

SPEAKER_01 14:12

And it was like, oh, what can we do? And then the advent, I think, of IV iron came out, and we just that's what we that's what was thought at the time of like, oh, this is we need more iron. So then people get really constipated and not tolerate it. So now we know that like it can be spread out. So this is the current state of the evidence that we know. And you know, because of cost and access, people are forced to get more creative when it comes to like what they do and how they're doing it. We don't particularly endorse one way or another here officially on the airwaves, uh, but you know, we're realistic as well. Yeah. Um, so you know, when we're talking about this and you're starting on this journey, it is exactly that. But it's also important to think about like what success looks like. It's not a number on a scale. Your body is so complicated that like looking at a single number to try to like detect or comprehend or measure the complexity of your biology is actually really silly, but it's the way of the world. Um it's also not necessarily a before and after photo. Yes, you may become more confident and things may improve and you may feel better about yourself, but the goal of these medicines is improved health. And that's like the the big takeaway. Hopefully, feeling better energy, feeling more in control around food. And for many people, even this, those things can be life-changing. And so that I really, you know, different metabolic elements can improve at 5% total body weight loss, 10%, 15%. And that those are better ways if you had to numerate a number to say, like, this is how much I want to lose for this X benefit. I can get my head around that. But we definitely need a whole episode where like about weight goals, because I don't think there is a real singular goal weight. Like it is such a blend of what you're able to maintain, what is realistic, how you're able to move, and all of those things mixed together. How does it change your health? How does it keep you safe? Oh gosh, it's so complicated. Um, so we're gonna try to keep breaking it down here. But in in summary, as a takeaway, so what happens after you start a GLP one? It's not constant, it is not effortless, but it can be transformative for someone. And if you understand what's happening, like we're trying to do here, and you can use it as a tool, not a crutch, for your health going forward. And now for the banter.

SPEAKER_00 16:55

Okay, something funny happened on a walk this week when I was with Ollie after work. And a little bit of sassy Nikki came out just for a moment on this encounter. And oh, it was kind of harmless, but it's really more of this story, is more of a testament to the epidemic that we are currently experiencing, and that epidemic is of people of a certain generation or generations are just saying whatever they want to complete strangers, and it's always something that I think there's a spectrum of things and I don't know. Yeah, there's a spectrum of things, but however, I do think that whether or not there was any sort of like nefarious intent behind the things that are said, a person of average social etiquette understanding would think that's it's a little crazy or just weird.

SPEAKER_02 18:02

Okay.

SPEAKER_00 18:02

So we're walking Ollie and we weren't run into this sweet older lady outside kind of putzing around, cleaning up outside of her house. And she was probably like 75-ish, if I had to guess by like hair color age spots sort of situation. I know aging is different for everyone, but that's kind of the ballpark guess. So Ollie goes up to her and she's like, Oh my god, he's so cute. Da-da-da, is petting him. He's all excited because someone's giving him attention. And you're looking at me like you don't know what I'm gonna say next because you don't it's not that bad. Because I don't a little bit funny. So then she's looking at him, not really saying anything, just kind of looking at him for a sec, and goes, his face is really white. So in my head, I'm like, lady, you got a full head of white hair, but okay. And then goes, is he a senior? So then I'm like, okay, whatever comes out of this lady's mouth next is going to determine how much fun I'm gonna have this afternoon.

SPEAKER_02 19:20

Oh god.

SPEAKER_00 19:22

So I said he's nine, and then she goes, This is like the thing that is harmless on the spectrum of crazy things, but just weird. And she goes, Oh, it's so dramatic. Oh, you are so lucky to still have him. Such drama. So I'm like, Okay, lady, like he's nine, he's not a puppy, he also doesn't have one foot over the rainbow bridge, but okay, so I'm like, oh yeah, like smaller dogs tend to live a little bit longer than bigger dogs. So I think if we're lucky, we have a couple more years left at him. And then that was that. She's petting him a little more, and then she goes, All right, buddy, well, I gotta go. I have to finish up here. My daughter's coming to check up on me. So that kind of made me think maybe she's like a little bit older. Maybe her health isn't the best if she said, you know, use the wording, coming to check up on me.

SPEAKER_02 20:20

Right.

SPEAKER_00 20:21

So we walk away, say, your daughter's so lucky to still have you around. No, have a nice visit.

SPEAKER_01 20:30

As you're walking away.

SPEAKER_00 20:32

Yeah. Have a nice visit.

SPEAKER_01 20:36

Oh my god.

SPEAKER_00 20:38

No, I swear, people just like say the craziest stuff to absolute strangers. And I think you, you know.

SPEAKER_01 20:46

You wanted to lean into it?

SPEAKER_00 20:47

You should just like match energy.

SPEAKER_01 20:49

Yeah.

SPEAKER_00 20:49

Meets it is. It's a weird thing. Every time that we're out, someone asks how old Ollie is. We say nine. It's always, oh my God, he looks so good. Oh my god, he so seems like a puppy. Like about how great he looks, how healthy he looks, how we take such good care of him. It's never oh my, oh my god.

SPEAKER_02 21:09

Oh my god.

SPEAKER_00 21:10

You're so lucky to still have him with you. What? Lady, what?

SPEAKER_01 21:15

Lady. What a thing to say.

SPEAKER_00 21:18

Was that around here? Yeah, it was like two streets down. I think it was the street parallel, that like a little side street to the section that the pet store's on, because he was trying to go there and I was trying to walk around.

SPEAKER_01 21:29

That man.

SPEAKER_00 21:31

So yeah.

SPEAKER_01 21:32

Oh my goodness.

SPEAKER_00 21:34

That happened. She's so lucky to still have you. Oh, what?

SPEAKER_01 21:38

That's so funny. No, you oh my god. You're awesome.

SPEAKER_00 21:41

I know. That's a weird thing to say. So it is. Match the weirdness. That's I feel like I always get not always, but my TikTok algorithm believes that I am a married woman of a childbearing age for some weird reason. So I will get these TikTok sometimes of these like poor new moms who are out in public minding their own business with their baby and like this crazy thing that this weird stranger, like out-of-pocket thing, said to them. Like a complete stranger, not like something your grandmother or your like crazy in-law said to you, an absolute stranger just like in Whole Foods with your baby. And I do know that if we ever have a human child or children, I'm gonna have an absolute blast with these people. You are out in public.

SPEAKER_01 22:39

I mean, case in point here today. Oh my god. Yeah, you're gonna.

SPEAKER_00 22:44

You know, like I I'll leave the house with the kid just to go have some fun.

SPEAKER_01 22:48

Yeah, you you've given.

SPEAKER_00 22:51

I think whether you want to look at it as fortunately or unfortunately for you, I think I was blessed when needed with the gift of quick wit.

SPEAKER_01 23:00

Yes.

SPEAKER_00 23:01

And given the right prompting, I'm locked and loaded with a one-liner.

SPEAKER_01 23:06

You you are, you really are, and they can be really funny and cut all at the same time. Oh my god, you are given the gift of quick wit. Oh, you are something else.

SPEAKER_00 23:21

So yeah, that happened.

unknown 23:24

That happened.

SPEAKER_01 23:25

Tell us about um he's uh since we're like this is an alley centric thing. I wonder how much of this lisp is gonna come through.

SPEAKER_00 23:36

Yeah, um Eddie's teeth white. What? Hello? Whitening his teeth. Yeah, teething his white.

SPEAKER_01 23:44

I'm teething my white. Um the perfect time to do it while you're podcasting. Um like where he's been going and how he's changed his entire life around.

SPEAKER_00 23:55

This guy he is very smart, even though sometimes he looks derpy. So there are three neighborhood spots. One is a bar on our corner, one's a barber shop on the other corner, and one is the pet store, like a two or so blocks down. He goes in there, he gets his treats. They have a milk boon, he knows exactly like who the people are. He goes to them. He even if it's like early in the morning or later at night and these places are closed, he will go at the door or like walk up the stairs and wait for someone to be home. And we have to be like, Ollie, he's not home. So the one store, they're all on the same street, but the one is more on like the route that we go on our walks. And he's learned like exactly where to turn and what street to go down, even if we're like going coming from the opposite direction, he will turn. Like if I try to kind of go around like the opposite way of the circle that we usually go to, he still turns down that street. If we like are on that block, once he realizes we're on the street, he's sprinting to the door. He is, and even like even today, when I was trying to bob and weave, we were going through all these little side streets to go around the block that this pet store is on. And he still, even when we got out of the street onto whatever number street that is, and then I was trying to go down one block to come back up, and he still wanted to turn and go right to then make another right to be right at the pet store. Like he knows exactly where he is. I know at all times, and once like he will do whatever he wants to get to the pet store, and then a lot of times he's very stubborn. I don't know where he learned that from, but he'll like completely just like throw his whole butt into it, and his like his little legs are like glued to the sidewalk, and he like doesn't want to move. Oh my god. And then we look like we're like I know abusing our dog because we're like, no, Ollie, we gotta go this way, come on.

SPEAKER_01 26:09

Come on, we're gonna go that you go in there, they can only give you so many free things.

SPEAKER_00 26:14

Well, then I know twice was it twice last week? He and I walked in, and the guy there, I think I forget what he said his name was, Tyreek or something. We walk in, he gives him a treat, and then I think they just got like a big stock of stuff. So he like gave us a little bag. He's like, Oh, these are the ones here, yeah. Like you can you can take them. And then we went like a day or two later and gave us more. I'm like, Ollie, we can't like I'm gonna have to buy something next time I come in here. I have to buy something. We have like three bags of treats that we didn't pay for.

SPEAKER_01 26:44

I know, and I'm like, what am I gonna buy when I go in there? Cause and then I have to like make sure he isn't like interact with another dog while he's in there, or the like ever-present guilt of the show dog that they put.

SPEAKER_00 26:56

Yeah, the adoption dog. Although the dog, like there wasn't a dog there last week, so maybe maybe someone came by. Yeah.

SPEAKER_01 27:04

Gosh. Grand old times. He's like completely converted his morning walk. I mean, this morning we went on the normal morning walk, but yeah, he like he got he I got got the other day. He like was walking like a beeline, and I was like, wow, you were like going in straight lines, you're not sniffing, you're not eating trash. Like, he doesn't eat trash, but he eats street snacks. And I was like, wow, this is so great. And then I realized we're on the street the pet store is on.

SPEAKER_00 27:33

And it's like 6 a.m. And then I got a picture because Eddie does his morning walks, and then I get a picture of just Ollie sad at the pet store, lights are off inside because it's like 6 a.m. They're obviously not open, and then it's just him like staring into the door. They have like a clear door. He's like, look at all those toys.

SPEAKER_01 27:55

And I'm like, come on, buddy, they're not home yet.

SPEAKER_00 27:58

And then he just looks at you, like he likes side-eyes you. He's like, No, why are we not going in?

SPEAKER_01 28:02

I know that part he doesn't understand. He does love his Serbian barber.

SPEAKER_00 28:08

He does. That guy's great, does not like the Serbian barber's dogs, but and the dogs don't like Ollie. But he likes the guy solo because he has treats.

SPEAKER_01 28:20

Yeah, the guy solo, they have a great time. And um, well, he like for some reason is always able to tell when we're walking by, and he'll always give like a nice, like hearty hand wave. That man is so well dressed at all times. Like he's in like a three-piece suit cutting people's hair, and I'm like, that guy's cool. I really wish I remember his name. We're bad at that. Yeah, it's hard. He doesn't know my name. So there's that.

SPEAKER_00 28:49

Yeah.

SPEAKER_01 28:50

Oh my goodness.

SPEAKER_00 28:53

I feel like sometimes when people tell me their names, like when it's like a random person, like the guy at the pet store, I feel like he told me his name and it legitimately like he said it to me, and it just didn't stick to any brain cell in there. It just went away.

SPEAKER_01 29:13

No, yeah, it's gotta um it comes and goes.

SPEAKER_00 29:18

One ear, it just did not sometimes we need to learn our male carrier's name.

The Mail Carrier Story And Closing

SPEAKER_01 29:25

Oh, he likes he's so nice, and he also like calls to Ollie like on Thursdays when I'm here. Like, he'll call to him and be like, Oh, uh, Ollie, relax, relax. It's okay. It's okay. I'm like, that guy's awesome.

SPEAKER_00 29:41

Well, he's so nice because when you're like, it was like your family medicine and obesity medicine, like board certification things were coming in the mail, they were getting they like can't fit in our mail slot thing. So each time like I came home and there was like the USPS, like we tried to deliver you a package. So I'm like, all right, he'll get this like Thursday if he's home when the mail comes. But then I was out walking with Ollie and we were like a block or two away, and we saw him, and he's like waving me, like waving at me from across the street. He's like, hey, are you gonna be home soon? I got something for you. I'll come back. And then he like did his route and then came back to give him like both times.

SPEAKER_01 30:21

So just so nice.

SPEAKER_00 30:22

Yeah, and now I'm like, I'm so rude. I don't even know this very nice man's name.

SPEAKER_01 30:28

I think it's it's okay to ask.

SPEAKER_00 30:30

Yeah.

SPEAKER_01 30:32

I'm so sorry. You've been so nice to us. Can you remind me of your name? Because he doesn't know your name.

SPEAKER_00 30:36

Well, actually he does, because he delivers our mail.

SPEAKER_01 30:39

Probably does, actually.

SPEAKER_00 30:40

He knows all of our names on the street.

SPEAKER_01 30:42

That's a good point. The mailman. So thank you for coming back to another episode of Your Checkup. Hopefully, you were able to learn something for yourself, a loved one, or a neighbor. You can find us on Threads. You can send us an email at your checkuppod at gmail.com. Hopefully, you can send this to a loved one or a neighbor. But most importantly, stay healthy, my friends. Until next time, I'm Ed Delesky. I'm Nicole Arufo. Thank you, and goodbye. Bye. This information may provide a brief overview of diagnosis, treatment, and medications. It's not exhaustive and is a tool to help you understand potential options about your health. It doesn't cover all details about conditions, treatments, or medications for a specific person. This is not medical advice or an attempt to substitute medical advice. You should contact a healthcare provider for personalized guidance based on your unique circumstances. We explicitly disclaim any liability relating to the information given or its use. This content doesn't endorse any treatments or medications for a specific patient. Always talk to your healthcare provider for a complete information tailored to you. In short, I'm not your doctor. I am not your nurse. And make sure you go get your own checkup with your own personal doctor.