WEBVTT

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Before the next prescription,
ask three questions.

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What is this treatment helping?
What is becoming harder?

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And have reproductive plans changed?

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Consider Elena. Her A1C is at goal, but
she has had a myocardial infarction.

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The treatment discussion must include
cardiovascular benefit, not glucose alone.

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At follow-up, weight
loss looks encouraging.

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Then she describes nausea, very
small meals, and less energy.

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That changes the visit. The
prescriber and registered dietitian

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nutritionist need to review symptoms,
intake, hydration, and function before

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the next dose decision.

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Now consider Nora, who
wants to try for pregnancy.

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Verify the exact medicine
and why she takes it.

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For Wegovy used for weight reduction,
the label specifies stopping at least

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two months before a planned pregnancy.

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Tirzepatide sold as Zepbound has a
different counseling issue: oral

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hormonal contraception. Discuss
a non-oral method or an added

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barrier method for four weeks after
starting and after each dose increase.

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These instructions are product specific.

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For a patient with diabetes, stopping a
GLP-1 medicine also requires a plan to

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maintain glucose control before conception.

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Endocrinology and the pregnancy-care
team should coordinate the transition,

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with nutrition support. Before the visit
ends, put the plan into plain language.

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What happens next? Who reviews it?

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When will the patient hear from us? Ask
her to explain the next step in her

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own words. That is how a treatment
decision becomes continuing care.