 Hello, everyone. Today we are going to talk about tru-lisity. So you're probably here or see on TV or on other advertising channels about tru-lisity. Again, I do not work for tru-lisity. So I'm just going to talk about tru-lisity. Since I'm a diabetes doctor and I see patients with diabetes all day long, we have a virtual diabetes care center where you do not even have to go to the doctor. So we actually see you from home. We send your prescriptions in. We follow you every day through an app so that you don't actually have to do anything. So we do everything for you. Now, in case you're prescribed tru-lisity or if you decide to prescribe with tru-lisity, we will go over some features of tru-lisity so you're not in the dark. So you understand what's going on with you and the medication. So tru-lisity is a gastrointestinal hormone. So your doctors will prescribe this medication or similar medications such as Biterian, Bayetta, Ozampic and so forth. There are some medications similar to tru-lisity. Some of them are better than the others. In my opinion, the best medication in the market in terms of the GLP-1 class is Ozampic and Ribelsis, since they have a proven record of the best efficacy and weight loss in terms of helping with diabetes. So although Ozampic is better than tru-lisity, I sometimes your insurance will only cover tru-lisity. And I think it's still worth giving a shot if your insurance does not cover tru-lisity or ribelsis. In this case, I'll tell you a couple of features of tru-lisity. First of all, it's a gastrointestinal hormone and it makes your body make the insulin. So the way it works is that normally when you eat food, your gastrointestinal hormones get activated to stimulate the insulin in your system. Now, in patients with diabetes, unfortunately, it's not working very well. As a result, these medications boost the gastrointestinal hormones so that your body can respond with insulin to the food intake. The good thing about these medications, including Ozampic, tru-lisity, Biterian, etc., they do not necessarily drop your blood sugars if you didn't eat well or if you're exercising too much. You know, as a diabetic, you probably know what actually can drop your blood sugars. So insulin can definitely drop your blood sugars. There are some medications like Glypozide, Glyboride, Glymopryde. Those are the medications that actually force you to eat. On the other hand, medications like Ozampic or Tru-lisity actually they reduce your appetite and they actually encourage you not to eat. So that's a good feature because you end up losing weight. So what happens with these medications? Again, your body realizes there's food early on, so it increases your appetite and fullness sensation. So as a result, the weight loss happens. Appetite goes down as well. It basically slows your gastrointestinal system as well. So anytime you eat something, the next time you get hungry is going to be much later. So that's also another feature that these medications help your body. There are some hormones also in our system that actually goes up after we eat, which paradoxically elevate your blood sugars in patients with diabetes. We call that hormone glucagon. And that hormone is suppressed with Tru-lisity or Ozampic or Bidrian. And as a result, you know, you will have a better chance of preventing a spike in your blood sugars. Now, what are the side effects? Since these are gastrointestinal hormones, basically your body will have some reaction to it, such as nausea, diarrhea, constipation and so forth. So that those side effects are generally temporary. So if you can deal with it for a couple of weeks, they tend to go away. It may not, but in most cases, they do go away. Appetite reduction may persist, so you may lose actually a lot of weight. Again, Ozampic has been proven to be much better than Tru-lisity in terms of weight loss, efficacy and an advanced reduction. But Tru-lisity does a fair job as well. The good thing about Tru-lisity is it's pretty easy to use for patients who are really not very handy with medications. You know, they are super secure of medications, especially with injections. It may be easier to use this since it is only turning a knob to green from red to green, and then all you have to do is take this cap off, put that to your skin. That's generally the abdomen or the the thigh you can use. And all you have to do is push the button and hold it for 10 seconds. So and then this is disposable. So after the after you use that medication, you throw it away. A couple of things you have to be careful when you use Tru-lisity because the shelf life outside the fridge is only two weeks. So if you are a male to the medication to your door and if you forget to put into your fridge, then your three month supply may go wasted just because you did not refrigerate the medication immediately. The the the shelf life is only two weeks. Now, if you are using Ozampic, that is eight weeks. So even if you forgot to put in the fridge, you are not going to lose the whole 90 day supply. So that's one of the advantages of Ozampic over Tru-lisity. But the good thing about Tru-lisity is that they stay high the needle. Although the needle is much larger than the Ozampic or Victosa, if you have used those medications, since they hide the needle, it psychologically is somewhat better for people who cannot stand seeing the needle. But given that the the needles with Ozampic or some other medications like Lanthus, they're so tiny that you can go with the tiniest needle possible, which hurts as much as a finger stick. So if you are able to do a finger stick, you should be able to do any injections with that, be these medications, to be honest with you. And I think the the technology they put in this pen adds up to the cost. So that's why these medications are extremely expensive. So it can cost you a thousand dollars or more to your insurance, not to you necessarily, but if your insurance does not cover, you may end up with a bill of a couple of thousand dollars for a three month supply, and that's not very nice. Now at SugarMDs.com, what we do is we have our own pharmacist. We check your insurance to make sure that the medication is covered to begin with, or if you look at the whole class, we look at all different medications, see what is really covered under your insurance. So for example, if Ozambic, although it's much better medication, but if Ozambic is going to cost you five hundred dollars, but Trilocity will cost you fifty dollars for your insurance, then of course I will choose Trilocity. The difference is not night and day. So but if if you are paying, let's say, thirty dollars out of pocket for Ozambic versus Trilocity, I'll probably choose Ozambic because I know it works better. But if you tell me that you cannot stand needles, for example, and your insurance covers Ozambic and Trilocity the same and you like you prefer the way it is done, you know, just a push of a button and you don't need to see the needle, then Trilocity may be a better medication for you. So every medication has a merit. And what we do is we work with the pharmacist and in your insurance, try to get your copay cards and try to get you the minimum out of pocket cost. So if you're one of our patients, you will probably save tons of dollars, at least at least you will you will save, say, fifty dollars copay versus ten dollars copay, although it's a forty dollar difference that can still add to your budget at the end of the day. So you will see also some black box warnings about the Trilocity or Ozambic or any other medication in this class that it talks about some rats developing pancreatic cancer or medullary thyroid cancer. If you have a family history of medullary thyroid cancer or pancreatic cancer, you should take a caution and probably not use these medications. If you have history of pancreatitis, I would suggest to avoid these medications as well. Now, pancreatitis is an anecdotal evidence that has been reported here and there. So I'm not really concerned about pancreatitis as a side effect. And I don't really see in my practice too often at all. But if you have a history of it, I'll definitely will take caution and will try to use an alternative medication. Again, the cancer story, it's not necessarily seen in human beings. So it's only seen in rats. So overall, it's a very safe drug. But if you have a family history, if your risk is slightly increased, although the risk is not that great in terms of increasing risk of cancer with pancreatic cancer or medullary thyroid cancer, I would still be cautious if you have family history. So these are the basic fundamentals about Trilocity. And these are the things that they don't tell you on TV ads or they tell you or they misunderstand or you don't really understand what's going on with the medications. I hope this helps you with understanding Trilocity better. And if you have any questions, you want to save money, you want to be monitored remotely, you want virtual care, you want telemedicine, you have all that at showed MDs. So consider us and please give a thumbs up and subscribe to our channel for more videos. Have a wonderful day.