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Metamucil, Citrucel) Weekly-dosed GLP-1 agonists Trulicity (Dulagultide) Bydureon BCise (Exenatide ER) Ozempic / Wegovy (Semaglutide) Mounjaro / Zepbound (Tirzepatide) Adipex-P / Lomaira (Phentermine) Qsymia (Phentermine/Topiramate) THE DAY BEFORE Questran (cholestyramine) Lomotil Imodium (loperamide) Colestid (colestipol) DAY OF PROCEDURE Daily-dosed GLP-1 agonists Saxenda / Victoza (Liraglutide) Byetta (Exenatide IR) Rybelsus (Semaglutide) Adlyxin (Lixisenatide) Morning dose of oral diabetic medication (bring it with you) NOTHING BY MOUTH 3 HOURS BEFORE YOUR PROCEDURE Examples of clear liquids Popsicles, for red, purple, or blue EXCEPT Coconut water ( coconut milk) NOT Gatorade Kool-Aid Strained fruit juice (apple or white grape) Jell-O Coffee and tea (without dairy products/creamer) Soft drinks Tips If you start to feel nauseous while prepping, try: Pause drinking the prep until the feeling improves, then resume Decrease the amount you drink at a time Take more time between drinks Refrigerate the prep mixture Use a straw Prep goal: your stool should be clear and yellow

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This remodeling is permanent and is expected to persist for the rest of your life

She takes the time to listen carefully, understand the root cause of the problem, and then explains the treatment plan in a clear and reassuring manner