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Combination GLP-1 Therapy

Work through the clinical reasoning behind combining GLP-1 agonists with other agents, including rationale, sequencing, and safety monitoring.

What this track covers

This track covers strategies for pairing GLP-1 receptor agonists with agents such as phentermine, metformin, or SGLT2 inhibitors, and reviews multi-drug regimens considered in treatment-resistant obesity. It focuses on the reasoning behind combination selection, complementary mechanisms, and the safety monitoring these regimens require.

What you will practice

  • Weighing when a combination approach is appropriate versus GLP-1 monotherapy
  • Reasoning through complementary mechanisms across drug classes
  • Sequencing and adjusting therapy as agents are added
  • Screening for drug interactions and contraindications before adding an agent
  • Building a monitoring plan for patients on multi-drug regimens

Simulator scenario

A patient with obesity and inadequate response to GLP-1 monotherapy presents for a follow-up visit to discuss adding a second agent, requiring the clinician to weigh options, check for interactions, and set a monitoring plan.

Board question topics

  • Rationale for combining GLP-1 agonists with other agents
  • Mechanism-based drug interaction screening
  • Monitoring parameters for multi-drug obesity regimens
  • Adjusting combination therapy based on patient response

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