GLP-1 medications have become one of the most talked-about developments in healthcare in recent years. From managing blood sugar to supporting weight loss, these drugs are changing the way many people approach their health. But, with all the buzz comes plenty of confusion. Courtney Neal, an advanced practice registered nurse and family nurse practitioner at Wickenburg Community Hospital and Clinics, is here to cut through the noise.
What Are GLP-1 Medications?
GLP-1 stands for “glucagon-like peptides,” essentially chemical signals that tell the brain it is full. The most well-known names on the market right now are semaglutide, sold as Ozempic and Wegovy, and tirzepatide, sold as Mounjaro and Zepbound. These medications are available both through traditional prescriptions and through compounding pharmacies, where they are often combined with B12 to help with fatigue and nausea, and glycine to help preserve muscle mass during weight loss.
The medications are taken once a week via injection, either through a simple push-button pen or a vial drawn into an insulin needle. “It goes right into the belly, about an inch outside of the belly button,” Neal explains. “It’s just a push button, super quick, fully contained inside that administration unit. Once done, you throw it away and go on with your day.”
Who Are They For?
GLP-1 medications were originally developed to help control blood sugar in people with type-2 diabetes. Weight loss turned out to be a significant added benefit; one that has expanded their use considerably. Today, candidates include people with a BMI of 30 or higher, or 27 or higher with conditions like high blood pressure or high cholesterol. A conversation with a provider is essential, since insurance coverage and FDA approval vary depending on the specific medication and its intended use.
Beyond Weight Loss
The benefits of GLP-1 medications go beyond the scale. Neal has seen patients experience a dramatic shift in cravings, particularly for sugar and alcohol. “Things that you used to crave are way too sweet,” she shares, noting that researchers are now exploring these medications as a potential tool for treating addiction. Many patients describe the effect as quieting what Neal calls “food noise.” Meaning, that persistent mental chatter that drives overeating.
Not a Magic Fix
Neal is enthusiastic about what these medications can do, but she is equally clear about what they cannot do on their own. “If you don’t change your relationship with food while you are on these medications, you’re going to go right back to your old habits.”
Her approach with patients follows an 80/20 rule, eating clean 80 percent of the time and allowing for some flexibility the rest. Movement matters just as much. Her advice for getting started? Fifteen minutes outside. “Earn your spot on the couch every single day,” she offers.
Still Have Questions?
For anyone hesitant about injections or unsure if GLP-1 is the right fit, Neal’s message is simple: talk to your provider. “It’s your body, your choice, always,” she assures. “Let us either reduce those fears and tell you what it’s really going to be like. Or, tell you maybe it’s not the drug for you, and we’ll figure something else out.”
For more information, visit wickhosp.com/wickcaretalks.
Courtney Neal, APRN, FNPC
Family Medicine – Community Hospital Clinics – Wickenburg
