so tell us a little bit about sort of these skinny shots and let's start with I think maybe the some of the names that people know the best maybe the OIC and wovi the semaglutide and what what that is so semaglutide which is the medication that's in OIC and movi and then tepati is the medication that is in Monaro and Zep bound they really started out as diabetes medication and they're really work by stimulating the pancreas to secrete insulin and what these drugs are is they're really peptides that are released by your own gut the
cells in your gut specific cells and they work as a feedback loop to tell your stomach that it's full and to tell your brain that you've eaten and that you don't need to eat further so these medications are really just mimicking those peptides and they work at for OIC or the semi glutide works at The glp1 Agonist at it's it works at that receptor and then mandaro works at the glp one receptor but also the Gip receptor so it works at two different receptors so for the for the lay people in the audience on those
receptors I mean that's probably the main difference but in what case would you say okay we're going to start you over here on the semaglutide versus the tepati or in what cases might you prescribe one over the other and is one better than the other well I think for a lot of people semi glutide might work and it does work tepati was just FDA approved for weight loss late in 23 so the studies look awesome I mean there's more weight loss with the tepati and with fewer side effects so more weight loss fewer side effects
it does cost slightly more but and it works at two different receptor sites instead of one so it's really up to the patient initially what they would like to try and then from then on it's just based on their experience if they're to tolerating whichever drug they choose we would just stay with that and we gently increase the dose over a period of months as they tolerate it
